Balakrishna Shivashanker Bangalore

Controlled Substance Registration - Physician

Indiana  01063540B   Active

This Indiana license is held by Balakrishna Shivashanker Bangalore. The license is currently active. It was granted on 04/11/2007 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01063540B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 04/11/2007 (about 19 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

Reid Hospital, 1100 Reid Parkway, Richmond IN 47374