Indiana
Professional Licensing Agency
Shreyasi H. Dalal
Controlled Substance Registration - Physician
License number
01029779B
Date granted
10/02/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
APAC Groupe, Centers for Pain Managerment, 11456 S. Broadway, Crown Point IN 46307
indianalicensing.org
ID 5841912
LAST UPDATED 2024-01-18 18:05:14 UTC
LAST UPDATED 2024-01-18 18:05:14 UTC
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