Indiana
Professional Licensing Agency
Piyush Jayantilal Shah
Controlled Substance Registration - Physician
License number
01065021B
Date granted
03/26/2008
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Westville Correctional Facility, 1100 W State Road 2, Westville IN 46391
indianalicensing.org
ID 5935135
LAST UPDATED 2024-02-26 07:21:25 UTC
LAST UPDATED 2024-02-26 07:21:25 UTC
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