License holder summary

Shamim Dada is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Shamim Dada is Inner Vision Advanced Medical Imaging, 1411 S. Creasy Lane, Suite 130, PO Box 4699, Lafayette IN 47903. This licensed professional license is not current. The license was granted 06/22/1998 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Shamim Dada
Controlled Substance Registration - Physician
License number
01048723B
Date granted
06/22/1998
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Inner Vision Advanced Medical Imaging, 1411 S. Creasy Lane, Suite 130, PO Box 4699, Lafayette IN 47903
indianalicensing.org
ID 5880706
LAST UPDATED 2026-06-04 11:03:49 UTC

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