Indiana
Professional Licensing Agency
Ahmad Khan
Controlled Substance Registration - Physician
License number
01059621B
Date granted
11/04/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Porter Memorial Hospital, 814 LaPorte Ave, Valparaiso IN 46383
indianalicensing.org
ID 5927980
LAST UPDATED 2024-03-05 23:57:36 UTC
LAST UPDATED 2024-03-05 23:57:36 UTC
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