License holder summary

DASTAGIR ALAM KHAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for DASTAGIR ALAM KHAN is REGIONAL FAMILY MED CTR CLINTON CLINIC, 257 WALNUT STREET, CLINTON IN 47842. This licensed professional license is not current. The license was granted 06/07/1995 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

DASTAGIR ALAM KHAN
Controlled Substance Registration - Physician
License number
01042684C
Date granted
06/07/1995
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
REGIONAL FAMILY MED CTR CLINTON CLINIC, 257 WALNUT STREET, CLINTON IN 47842
indianalicensing.org
ID 5835057
LAST UPDATED 2024-02-23 06:48:46 UTC

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