Indiana
Professional Licensing Agency
Koorosh Banayan
Controlled Substance Registration - Physician
License number
01034835B
Date granted
02/12/1987
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST CATHERINE HOSPITAL, 4321 FIR STREET, EAST CHICAGO IN 46312
indianalicensing.org
ID 5845533
LAST UPDATED 2026-06-09 01:34:33 UTC
LAST UPDATED 2026-06-09 01:34:33 UTC
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