License holder summary

HOUSHMAND REZVANI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for HOUSHMAND REZVANI is Park Center, 809 High Street, Decatur IN 46733. This licensed professional license is not current. The license was granted 03/28/1996 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

HOUSHMAND REZVANI
Controlled Substance Registration - Physician
License number
01044895B
Date granted
03/28/1996
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Park Center, 809 High Street, Decatur IN 46733
indianalicensing.org
ID 5843241
LAST UPDATED 2024-04-18 21:10:51 UTC

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