Indiana
Professional Licensing Agency
Shahriar Setoudeh-Maram
Controlled Substance Registration - Physician
License number
01060421B
Date granted
04/18/2005
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
112 S Harrison Street, Alexandria IN 46001
indianalicensing.org
ID 5816408
LAST UPDATED 2024-04-29 22:22:43 UTC
LAST UPDATED 2024-04-29 22:22:43 UTC
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