License holder summary

Farooq Anwar Khan is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Farooq Anwar Khan is Lakeshore Interventional Pain, 1507 Wabash Avenue- ste 400C, Michigan City IN 46360. This licensed professional license is current. The license was granted 09/10/2014 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Farooq Anwar Khan
Controlled Substance Registration - Physician
License number
01074536B
Date granted
09/10/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Lakeshore Interventional Pain, 1507 Wabash Avenue- ste 400C, Michigan City IN 46360
indianalicensing.org
ID 27714325
LAST UPDATED 2024-08-07 08:56:36 UTC

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