Indiana
Professional Licensing Agency
Rajesh Valchand Shah
Controlled Substance Registration - Physician
License number
01060022B
Date granted
12/09/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Medical Staff Office, 2900 West 16th Street., Bedford IN 47421
indianalicensing.org
ID 5822473
LAST UPDATED 2024-02-10 16:02:50 UTC
LAST UPDATED 2024-02-10 16:02:50 UTC
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