Indiana
Professional Licensing Agency
Shashi Kala Panozzo
Controlled Substance Registration - Physician
License number
01061162B
Date granted
08/19/2005
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
128 North Randolph Street, Garrett IN 46738
indianalicensing.org
ID 5856040
LAST UPDATED 2024-03-03 16:08:39 UTC
LAST UPDATED 2024-03-03 16:08:39 UTC
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