License holder summary

HADI HEDAYATI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for HADI HEDAYATI is 4 WEST CENTER, 420 WEST 4TH STREET, MISHAWAKA IN 46544. This licensed professional license is not current. The license was granted 10/29/1992 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

HADI HEDAYATI
Controlled Substance Registration - Physician
License number
01040881B
Date granted
10/29/1992
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4 WEST CENTER, 420 WEST 4TH STREET, MISHAWAKA IN 46544
indianalicensing.org
ID 5895051
LAST UPDATED 2024-04-25 09:38:09 UTC

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