Indiana
Professional Licensing Agency
Shad Jawaid
Controlled Substance Registration - Physician
License number
01049309B
Date granted
02/23/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
attn: Betty Johnson, 1850 State Street, New Albany IN 47150
indianalicensing.org
ID 5903753
LAST UPDATED 2024-04-08 12:37:39 UTC
LAST UPDATED 2024-04-08 12:37:39 UTC
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