License holder summary

Imran Kazem is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Imran Kazem is 3032 Hamilton STreet, West Lafayette IN 47906. This licensed professional license is current. The license was granted 04/20/2007 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Imran Kazem
Controlled Substance Registration - Physician
License number
01063605B
Date granted
04/20/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3032 Hamilton STreet, West Lafayette IN 47906
indianalicensing.org
ID 5934063
LAST UPDATED 2024-05-12 21:52:10 UTC

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