Shamim Dada

Controlled Substance Registration - Physician

Indiana  01048723E   Expired

This Indiana license was held by Shamim Dada. The license is no longer active. It was granted on 12/08/2006 and expired on 06/30/2009

LICENSE DETAILS

  • License Number: 01048723E
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 12/08/2006 (over 18 years ago)
  • Expiry Date: 06/30/2009 (almost 16 years ago)

LOCATIONS

A Address

InnerVision Molecular Imaging, 3801 Amelia Avenue, Suite A PO Box 4699, Lafayette IN 47903-4699