License holder summary

Ghazala Nizam Ahmed is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Ghazala Nizam Ahmed is Grant Blackford Mental Health, 505 N.Wabash, Marion IN 46952. This licensed professional license is not current. The license was granted 11/22/2006 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Ghazala Nizam Ahmed
Controlled Substance Registration - Physician
License number
01051796B
Date granted
11/22/2006
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Grant Blackford Mental Health, 505 N.Wabash, Marion IN 46952
indianalicensing.org
ID 5888011
LAST UPDATED 2024-03-07 07:50:05 UTC

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