Indiana
Professional Licensing Agency
Rupal Shroff Juran
Controlled Substance Registration - Physician
License number
01069474B
Date granted
04/15/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Basinski, LLC, 3922 Venetian Way Suite 1, Newburgh IN 47630
indianalicensing.org
ID 5906297
LAST UPDATED 2024-03-09 21:13:33 UTC
LAST UPDATED 2024-03-09 21:13:33 UTC
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