MAHENDRA M SHAH

Controlled Substance Registration - Physician

Indiana  01029974B   Active

This Indiana license is held by MAHENDRA M SHAH. The license is currently active. It was granted on 11/30/1984 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01029974B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 11/30/1984 (over 40 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Mahendra M Shah,M.D, 5500 Hohman Ave, Ste 2F, Hammond IN 46320