License holder summary

Faisal M Mirza is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Faisal M Mirza is The Medical Group of Michigan City, 710 Franklin Square, Michigan City IN 46360. This licensed professional license is not current. The license was granted 01/10/2002 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Faisal M Mirza
Controlled Substance Registration - Physician
License number
01049218B
Date granted
01/10/2002
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
The Medical Group of Michigan City, 710 Franklin Square, Michigan City IN 46360
indianalicensing.org
ID 5892553
LAST UPDATED 2024-02-17 11:27:09 UTC

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