Indiana
Professional Licensing Agency
Shelly Jain
Controlled Substance Registration - Physician
License number
01067129B
Date granted
08/05/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Anthony Medical Health Center-Attn: Med Staff, 301 W Homer Street, Michigan City IN 46360
indianalicensing.org
ID 5893693
LAST UPDATED 2024-03-05 08:45:29 UTC
LAST UPDATED 2024-03-05 08:45:29 UTC
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