Indiana
Professional Licensing Agency
Pravin Shah
Controlled Substance Registration - Physician
License number
01045179B
Date granted
07/26/2002
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
833 West Lincoln Hwy. Suite 325W, Schererville IN 46375
indianalicensing.org
ID 5917160
LAST UPDATED 2024-04-07 14:48:28 UTC
LAST UPDATED 2024-04-07 14:48:28 UTC
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