License holder summary

Aized Ali Imtiaz is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Aized Ali Imtiaz is 600 Grant Street, Gary IN 46402. This licensed professional license is not current. The license was granted 04/21/2011 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Aized Ali Imtiaz
Controlled Substance Registration - Physician
License number
01068639B
Date granted
04/21/2011
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
600 Grant Street, Gary IN 46402
indianalicensing.org
ID 5856092
LAST UPDATED 2024-03-24 06:20:15 UTC

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