License holder summary

Shivam Dubey is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Shivam Dubey is Otis R. Bowen Center, 850 N. Harrison St., Warsaw IN 46580. This licensed professional license is current. The license was granted 04/19/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Shivam Dubey
Controlled Substance Registration - Physician
License number
01070541B
Date granted
04/19/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Otis R. Bowen Center, 850 N. Harrison St., Warsaw IN 46580
indianalicensing.org
ID 5932907
LAST UPDATED 2024-03-21 07:22:53 UTC

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