Indiana
Professional Licensing Agency
Shiv Suman Kapoor
Controlled Substance Registration - Physician
License number
01042317B
Date granted
06/14/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2004 Indiana Avenue, CONNERSVILLE IN 47331
indianalicensing.org
ID 5838249
LAST UPDATED 2024-03-28 15:36:16 UTC
LAST UPDATED 2024-03-28 15:36:16 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.