Gautam Krishnaknat Shah
Controlled Substance Registration - Physician
Indiana 01029220B Active
This Indiana license is held by Gautam Krishnaknat Shah. The license is currently active. It was granted on 06/30/1985 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01029220B
- Category: CSR-Physician
- Status: Active
- Date Granted: 06/30/1985 (almost 40 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
ST MARGERT MERCY HOSPITAL, 5454 HOHMAN AVENUE, HAMMOND IN 46320
Are you Gautam Krishnaknat Shah? Show the world that you're licensed by displaying your personal badge.
Get Badge