Indiana
Professional Licensing Agency
GHODRATOLLAH JAVAHERI
Controlled Substance Registration - Physician
License number
01031899B
Date granted
08/17/1987
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
COMMUNITY HOSPITAL MEDICAL STAFF OFF, 901 MACARTHUR BOULEVARD, MUNSTER IN 46321
indianalicensing.org
ID 5900327
LAST UPDATED 2024-04-07 17:05:50 UTC
LAST UPDATED 2024-04-07 17:05:50 UTC
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