Indiana
Professional Licensing Agency
Jyoti Shah
Controlled Substance Registration-Osteopathic Physician
License number
02004064B
Date granted
08/14/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
1111 W 10th Street # 201, Indianapolis IN 46202
indianalicensing.org
ID 5804887
LAST UPDATED 2024-03-25 09:09:11 UTC
LAST UPDATED 2024-03-25 09:09:11 UTC
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