Indiana
Professional Licensing Agency
Tarek Hassan Shahbandar
Controlled Substance Registration - Physician
License number
01058916C
Date granted
01/03/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
8687 Connecticut Street, Suite D, Merrillville IN 46410
indianalicensing.org
ID 5891778
LAST UPDATED 2024-02-11 18:24:07 UTC
LAST UPDATED 2024-02-11 18:24:07 UTC
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