Indiana
Professional Licensing Agency
Shari Malini De Silva
Controlled Substance Registration - Physician
License number
01051352B
Date granted
09/09/1999
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
OCCUPATIONAL HEALTH CLINIC, 2607 Dowling Street, Kendallville IN 46755
indianalicensing.org
ID 5875067
LAST UPDATED 2024-03-27 03:53:16 UTC
LAST UPDATED 2024-03-27 03:53:16 UTC
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