License holder summary

Augustine Ikechukwu Izah is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Augustine Ikechukwu Izah is 5857 Broadway, Merrillville IN 46410. This licensed professional license is current. The license was granted 08/25/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Augustine Ikechukwu Izah
Controlled Substance Registration - Physician
License number
01042994B
Date granted
08/25/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5857 Broadway, Merrillville IN 46410
indianalicensing.org
ID 5889894
LAST UPDATED 2024-03-07 09:40:18 UTC

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