License holder summary

Shamoli Khanderia is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Shamoli Khanderia is Ellettsville Family Practice, 5921 W. St. Rd 46, Bloomington IN 47404. This licensed professional license is not current. The license was granted 09/17/2007 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Shamoli Khanderia
Controlled Substance Registration-Osteopathic Physician
License number
02003256B
Date granted
09/17/2007
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Ellettsville Family Practice, 5921 W. St. Rd 46, Bloomington IN 47404
indianalicensing.org
ID 5795573
LAST UPDATED 2026-03-27 07:54:18 UTC

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