License holder summary

Kenneth K. Moghadam is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kenneth K. Moghadam is Jarrett Fertility Group, 11725 Illionis Street Suite# 515, Carmel IN 46032. This licensed professional license is not current. The license was granted 05/12/2005 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Kenneth K. Moghadam
Controlled Substance Registration - Physician
License number
01051029B
Date granted
05/12/2005
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Jarrett Fertility Group, 11725 Illionis Street Suite# 515, Carmel IN 46032
indianalicensing.org
ID 5831084
LAST UPDATED 2024-02-04 14:19:30 UTC

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