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 2024-02-18 04:01:41 UTC
LAST UPDATED 2024-02-18 04:01:41 UTC
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