License holder summary

Mahtab Tashakori is a Physician licensed to practice in Indiana. The address on file for Mahtab Tashakori is Lafayette IN 47909. This licensed professional license is not current. The license was granted 06/07/2005 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Mahtab Tashakori
Physician
License number
01060821A
Date granted
06/07/2005
Date expires
06/30/2007
Class
Physician
Status
Expired Non-Renewable
Address
Lafayette IN 47909
indianalicensing.org
ID 6068924
LAST UPDATED 2024-04-11 02:08:35 UTC

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