License holder summary

Shailesh Ram Basani is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Shailesh Ram Basani is 2409 Mitchell Road, Bedford IN 47421. This licensed professional license is current. The license was granted 05/29/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Shailesh Ram Basani
Controlled Substance Registration - Physician
License number
01071094B
Date granted
05/29/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2409 Mitchell Road, Bedford IN 47421
indianalicensing.org
ID 5822675
LAST UPDATED 2024-05-06 05:19:58 UTC

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