License holder summary

BAKHTIAR BAZMI ANSARI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for BAKHTIAR BAZMI ANSARI is 330 N WABASH AVE STE 430, MARION IN 46952. This licensed professional license is not current. The license was granted 05/05/1999 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

BAKHTIAR BAZMI ANSARI
Controlled Substance Registration - Physician
License number
01050537B
Date granted
05/05/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
330 N WABASH AVE STE 430, MARION IN 46952
indianalicensing.org
ID 5887692
LAST UPDATED 2024-05-14 06:09:33 UTC

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