License holder summary

Gholam Ali Mir is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Gholam Ali Mir is 2025 VIRGINIA AVENUE # B, CONNERSVILLE IN 47331. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Gholam Ali Mir
Controlled Substance Registration - Physician
License number
01022818B
Date granted
09/30/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2025 VIRGINIA AVENUE # B, CONNERSVILLE IN 47331
indianalicensing.org
ID 5837839
LAST UPDATED 2024-03-09 22:28:26 UTC

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