Indiana
Professional Licensing Agency
Sharmita Misra
Controlled Substance Registration - Physician
License number
01070486B
Date granted
12/12/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
North Shore Health Center, 3630 Willowcreek Road, Portage IN 46368
indianalicensing.org
ID 5911256
LAST UPDATED 2024-03-12 13:40:56 UTC
LAST UPDATED 2024-03-12 13:40:56 UTC
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