Indiana
Professional Licensing Agency
Muniza Shah
Controlled Substance Registration - Physician
License number
01056023B
Date granted
07/01/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Four County Counseling Center, 1015 michigan ave, Logansport IN 46947
indianalicensing.org
ID 5885441
LAST UPDATED 2024-04-16 12:46:27 UTC
LAST UPDATED 2024-04-16 12:46:27 UTC
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