Indiana
Professional Licensing Agency
Enayat K. Shirazi
Controlled Substance Registration - Physician
License number
01024272B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3996 Quail Drive, Richmond IN 47374
indianalicensing.org
ID 5912938
LAST UPDATED 2026-04-14 20:32:47 UTC
LAST UPDATED 2026-04-14 20:32:47 UTC
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