Indiana
Professional Licensing Agency
Leyla Mehdinasab
Controlled Substance Registration - Physician
License number
01072295B
Date granted
04/24/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5215 Holy Cross Pkwy, Mishawaka IN 46545
indianalicensing.org
ID 5895408
LAST UPDATED 2024-05-13 09:55:36 UTC
LAST UPDATED 2024-05-13 09:55:36 UTC
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