Indiana
Professional Licensing Agency
Tushar N. Shah
Controlled Substance Registration - Physician
License number
01061681B
Date granted
10/02/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Memorial Hospital & Health care ctr., 800 W 9th Street - attn: kelly clauss - Director, Jasper IN 47546
indianalicensing.org
ID 5872171
LAST UPDATED 2024-03-23 02:26:01 UTC
LAST UPDATED 2024-03-23 02:26:01 UTC
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