Indiana
Professional Licensing Agency
Shagufta Khan
Controlled Substance Registration - Physician
License number
01047768B
Date granted
10/23/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5530 Hohman Avenue, Hammond IN 46320
indianalicensing.org
ID 5865348
LAST UPDATED 2024-03-20 18:38:57 UTC
LAST UPDATED 2024-03-20 18:38:57 UTC
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