Indiana
Professional Licensing Agency
Habib Tagizadieh
Controlled Substance Registration - Physician
License number
01038694B
Date granted
08/15/1990
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
209 Milford Haven Way, Munster IN 46321
indianalicensing.org
ID 5900385
LAST UPDATED 2024-03-21 04:21:54 UTC
LAST UPDATED 2024-03-21 04:21:54 UTC
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