Shashi Kala Panozzo

Controlled Substance Registration - Physician

Indiana  01061162B   Expired

This Indiana license was held by Shashi Kala Panozzo. The license is no longer active. It was granted on 08/19/2005 and expired on 06/30/2011

LICENSE DETAILS

  • License Number: 01061162B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 08/19/2005 (almost 21 years ago)
  • Expiry Date: 06/30/2011 (almost 15 years ago)

LOCATIONS

A Address

128 North Randolph Street, Garrett IN 46738