License holder summary

Andrew S. Islam is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Andrew S. Islam is 321 Mitchell Avenue, Batesville IN 47006. This licensed professional license is current. The license was granted 06/09/2010 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Andrew S. Islam
Controlled Substance Registration - Physician
License number
01068355B
Date granted
06/09/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
321 Mitchell Avenue, Batesville IN 47006
indianalicensing.org
ID 5820877
LAST UPDATED 2024-05-02 10:58:39 UTC

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