License holder summary

Priya Marushka Shastri is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Priya Marushka Shastri is Okolocha Medical Corp, 2054 Grant Street, Gary IN 46404. This licensed professional license is not current. The license was granted 06/15/2005 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Priya Marushka Shastri
Controlled Substance Registration - Physician
License number
01060192B
Date granted
06/15/2005
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Okolocha Medical Corp, 2054 Grant Street, Gary IN 46404
indianalicensing.org
ID 5857313
LAST UPDATED 2026-07-27 19:59:45 UTC

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