Indiana
Professional Licensing Agency
Reva Sharma
Controlled Substance Registration - Physician
License number
01046335B
Date granted
06/17/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IMPACT Center of Mooresville, 1201 Hadley Road, Mooresville IN 46158
indianalicensing.org
ID 5897219
LAST UPDATED 2024-04-08 09:27:24 UTC
LAST UPDATED 2024-04-08 09:27:24 UTC
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