VIJAY PURUSHOTTAMBHAI SHAH

Controlled Substance Registration - Physician

Indiana  01044106B   Active

This Indiana license is held by VIJAY PURUSHOTTAMBHAI SHAH. The license is currently active. It was granted on 07/27/1995 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01044106B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 07/27/1995 (almost 29 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

Cardiovascular Clinics, P.C., 200 EAST 86TH PLACE, MERRILLVILLE IN 46410