Indiana
Professional Licensing Agency
Khurram Shahjehan
Controlled Substance Registration - Physician
License number
01067487B
Date granted
06/25/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Regional Medical Center, 1915 Lake Avenue, Plymouth IN 46563
indianalicensing.org
ID 27718034
LAST UPDATED 2024-04-07 20:04:50 UTC
LAST UPDATED 2024-04-07 20:04:50 UTC
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