Indiana
Professional Licensing Agency
Henna Mukhtar Malik
Controlled Substance Registration - Physician
License number
01064564B
Date granted
11/19/2007
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1401 Chester Blvd., Richmond IN 47374
indianalicensing.org
ID 5913185
LAST UPDATED 2026-05-25 22:22:09 UTC
LAST UPDATED 2026-05-25 22:22:09 UTC
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