License holder summary

Fazal Ahmed is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Fazal Ahmed is St. Margaret Mercy Health Care Center, 29 Joliet Street, Dyer IN 46311-1799. This licensed professional license is not current. The license was granted 02/25/2008 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Fazal Ahmed
Controlled Substance Registration - Physician
License number
01059482C
Date granted
02/25/2008
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Margaret Mercy Health Care Center, 29 Joliet Street, Dyer IN 46311-1799
indianalicensing.org
ID 5844277
LAST UPDATED 2024-04-27 06:23:02 UTC

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