Indiana
Professional Licensing Agency
Mamoon Arif Raza
Controlled Substance Registration - Physician
License number
01061775B
Date granted
02/20/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Elkhart Clinic, LLC, 303 S. Nappanee Street, Elkhart IN 46514
indianalicensing.org
ID 5847841
LAST UPDATED 2024-04-26 13:37:38 UTC
LAST UPDATED 2024-04-26 13:37:38 UTC
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