Indiana
Professional Licensing Agency
Jonathan Tabbakh Shirazi
Medical Residency Permit
License number
11015529A
Date granted
05/28/2010
Date expires
06/30/2013
Class
Medical Residency Permit
Status
Superceded
Address
Fishers IN 46038
indianalicensing.org
ID 5977581
LAST UPDATED 2026-06-16 18:35:00 UTC
LAST UPDATED 2026-06-16 18:35:00 UTC
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