License holder summary

Namir Joseph Shaba is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Namir Joseph Shaba is lakeshore Urology, 809 LaPorte Avenue, Valparaiso IN 46383. This licensed professional license is not current. The license was granted 06/30/2010 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Namir Joseph Shaba
Controlled Substance Registration-Osteopathic Physician
License number
02003710B
Date granted
06/30/2010
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
lakeshore Urology, 809 LaPorte Avenue, Valparaiso IN 46383
indianalicensing.org
ID 5814835
LAST UPDATED 2024-02-05 14:02:59 UTC

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