Indiana
Professional Licensing Agency
Shobana Pandian
Controlled Substance Registration - Physician
License number
01058626B
Date granted
03/09/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
South Bend Clinic at Granger, 52500 Fir Road, Granger IN 46530
indianalicensing.org
ID 5859742
LAST UPDATED 2024-04-17 15:03:13 UTC
LAST UPDATED 2024-04-17 15:03:13 UTC
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