License holder summary

Khaleelur Rehman Zackariya is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Khaleelur Rehman Zackariya is St Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545. This licensed professional license is current. The license was granted 12/08/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Khaleelur Rehman Zackariya
Controlled Substance Registration - Physician
License number
01066056B
Date granted
12/08/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5895387
LAST UPDATED 2024-03-12 05:23:30 UTC

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