Indiana
Professional Licensing Agency
Behrooz Ebrahimi Fard
Controlled Substance Registration - Physician
License number
01051541B
Date granted
02/28/2000
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Comprehensive Mental Health services, 240 Tillitson Ave, Muncie IN 47304
indianalicensing.org
ID 5897704
LAST UPDATED 2024-02-19 06:11:38 UTC
LAST UPDATED 2024-02-19 06:11:38 UTC
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