License holder summary

Atefeh Azad is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Atefeh Azad is IU Health - Goshen Hospital, 200 High Park Avenue, Goshen IN 46526. This licensed professional license is current. The license was granted 02/17/2014 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Atefeh Azad
Controlled Substance Registration - Physician
License number
01073616B
Date granted
02/17/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IU Health - Goshen Hospital, 200 High Park Avenue, Goshen IN 46526
indianalicensing.org
ID 27706950
LAST UPDATED 2024-03-28 17:32:57 UTC

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