Indiana
Professional Licensing Agency
Shabaz Qumar Gill
Controlled Substance Registration - Physician
License number
01069994B
Date granted
08/15/2011
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Vincent Clay Hospital, 1206 E National Avenue, Brazil IN 47834
indianalicensing.org
ID 5827852
LAST UPDATED 2024-04-25 22:36:13 UTC
LAST UPDATED 2024-04-25 22:36:13 UTC
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