Indiana
Professional Licensing Agency
Vineet Purushottam Shah
Controlled Substance Registration-Osteopathic Physician
License number
02004113B
Date granted
11/30/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Methodist Hospital, 8701 Broadway, Merrillville IN 46410
indianalicensing.org
ID 5808815
LAST UPDATED 2024-04-02 18:22:35 UTC
LAST UPDATED 2024-04-02 18:22:35 UTC
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