License holder summary

Isa S. Canavati is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Isa S. Canavati is SURGICAL ASSOCIATES, 2622 LAKE AVENUE, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 07/10/1991 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

Isa S. Canavati
Controlled Substance Registration - Physician
License number
01035042C
Date granted
07/10/1991
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
SURGICAL ASSOCIATES, 2622 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 5853435
LAST UPDATED 2024-04-18 15:26:08 UTC

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