License holder summary

Imran Humayun Mirza is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Imran Humayun Mirza is Saint Jospeh Regional Medical Center, 5215 Holy Cross Pkwy, Mishawaka IN 46545. This licensed professional license is current. The license was granted 12/27/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Imran Humayun Mirza
Controlled Substance Registration - Physician
License number
01071271B
Date granted
12/27/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Saint Jospeh Regional Medical Center, 5215 Holy Cross Pkwy, Mishawaka IN 46545
indianalicensing.org
ID 5895075
LAST UPDATED 2026-04-21 20:31:45 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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