Fatima Siddique Shah
Controlled Substance Registration-Osteopathic Physician
Indiana 02002332B Expired
This Indiana license was held by Fatima Siddique Shah. The license is no longer active. It was granted on 07/23/2001 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 02002332B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 07/23/2001 (almost 25 years ago)
- Expiry Date: 06/30/2007 (almost 19 years ago)
LOCATIONS
A Address
Highway 41 Coalmine Road, RR 2 P.O. Box 700, Fort Branch IN 47648