License holder summary

Farzana Begum Mumtaz is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Farzana Begum Mumtaz is MED MULTI SPECIALITY CLINIC, 955 NORTH MICHIGAN AVENUE, GREENSBURG IN 47240. This licensed professional license is not current. The license was granted 10/19/1992 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

Farzana Begum Mumtaz
Controlled Substance Registration - Physician
License number
01038381B
Date granted
10/19/1992
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MED MULTI SPECIALITY CLINIC, 955 NORTH MICHIGAN AVENUE, GREENSBURG IN 47240
indianalicensing.org
ID 5860992
LAST UPDATED 2024-04-05 06:56:33 UTC

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