License holder summary

Farrokh Shahbahrami is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Farrokh Shahbahrami is 715 W Bayles Road, Bloomington IN 47404-9400. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Farrokh Shahbahrami
Controlled Substance Registration - Physician
License number
01021706B
Date granted
01/31/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
715 W Bayles Road, Bloomington IN 47404-9400
indianalicensing.org
ID 5824269
LAST UPDATED 2024-02-16 16:21:33 UTC

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