License holder summary

HASSAN TAVAKKOLI is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for HASSAN TAVAKKOLI is CORNEA CONSULTANT OF INDIANA, 9002 N MERIDIAN ST SUITE 100, INDIANAPOLIS IN 46260. This licensed professional license is not current. The license was granted 07/14/1992 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

HASSAN TAVAKKOLI
Controlled Substance Registration-Osteopathic Physician
License number
02001338B
Date granted
07/14/1992
Date expires
06/30/1995
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
CORNEA CONSULTANT OF INDIANA, 9002 N MERIDIAN ST SUITE 100, INDIANAPOLIS IN 46260
indianalicensing.org
ID 5804568
LAST UPDATED 2024-04-10 07:24:56 UTC

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