Indiana
Professional Licensing Agency
Nisha Shah Kheradiya
Controlled Substance Registration - Physician
License number
01071573B
Date granted
04/09/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Whipple Eye Center, 8244 East US 36 Ste 200, Avon IN 46123
indianalicensing.org
ID 27698239
LAST UPDATED 2024-04-22 13:04:43 UTC
LAST UPDATED 2024-04-22 13:04:43 UTC
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