Indiana
Professional Licensing Agency
Jay D Shah
Controlled Substance Registration - Physician
License number
01072775B
Date granted
07/01/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Porter Regional Hospital, 85 E US -6 HWY, Valparaiso IN 46383
indianalicensing.org
ID 5928764
LAST UPDATED 2026-05-16 08:17:26 UTC
LAST UPDATED 2026-05-16 08:17:26 UTC
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