Indiana
Professional Licensing Agency
Shamiram Badal
Controlled Substance Registration - Physician
License number
01070305B
Date granted
06/21/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
School City of Mishawaka Employee Clinic, 214 Indiana AVE, Mishawaka IN 46544
indianalicensing.org
ID 5895885
LAST UPDATED 2026-04-11 08:32:11 UTC
LAST UPDATED 2026-04-11 08:32:11 UTC
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