Indiana
Professional Licensing Agency
Ila Shah
Controlled Substance Registration - Physician
License number
01042012B
Date granted
11/12/1993
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1141 Portmarnock Court, Dyer IN 46311
indianalicensing.org
ID 5844301
LAST UPDATED 2024-03-09 05:55:44 UTC
LAST UPDATED 2024-03-09 05:55:44 UTC
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