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 2026-06-19 06:09:52 UTC
LAST UPDATED 2026-06-19 06:09:52 UTC
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