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 2024-04-12 01:04:03 UTC
LAST UPDATED 2024-04-12 01:04:03 UTC
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