License holder summary

Kourosh Mastali is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kourosh Mastali is JEFFERSONVILLE IMMEDIATE CARE CENTER, 1602 E 10TH ST, JEFFERSONVILLE IN 47130. This licensed professional license is not current. The license was granted 04/27/1999 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Kourosh Mastali
Controlled Substance Registration - Physician
License number
01050508B
Date granted
04/27/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
JEFFERSONVILLE IMMEDIATE CARE CENTER, 1602 E 10TH ST, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5873446
LAST UPDATED 2026-04-16 00:26:07 UTC

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