Shamim Dada

Controlled Substance Registration - Physician

Indiana  01048723B   Expired

This Indiana license was held by Shamim Dada. The license is no longer active. It was granted on 06/22/1998 and expired on 06/30/2001

LICENSE DETAILS

  • License Number: 01048723B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 06/22/1998 (almost 27 years ago)
  • Expiry Date: 06/30/2001 (almost 24 years ago)

LOCATIONS

A Address

Inner Vision Advanced Medical Imaging, 1411 S. Creasy Lane, Suite 130, PO Box 4699, Lafayette IN 47903