Indiana
Professional Licensing Agency
KIRIT CHAMPAKLAL SHAH
Controlled Substance Registration - Physician
License number
01033523B
Date granted
07/31/1985
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
COMMUNITY HOSPITAL, 901 MACARTHUR BLVD, MUNSTER IN 46321
indianalicensing.org
ID 5900757
LAST UPDATED 2024-03-15 00:39:15 UTC
LAST UPDATED 2024-03-15 00:39:15 UTC
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