Abhijit Tanmanishanker Shukla

Temporary Medical Doctor Permit

Indiana  99017771A   Superceded

This Indiana license was held by Abhijit Tanmanishanker Shukla. The license is no longer active. It was granted on 08/01/2005 and expired on 11/01/2005

LICENSE DETAILS

  • License Number: 99017771A
  • Category: Temporary MD Permit
  • Status: Superceded
  • Date Granted: 08/01/2005 (almost 20 years ago)
  • Expiry Date: 11/01/2005 (over 19 years ago)

LOCATIONS

A Address

Fort Wayne IN 46804