License holder summary

MANOOCHEH M PEZESHKI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MANOOCHEH M PEZESHKI is 21389 OSBORNE RD, LAKEVILLE IN 46536. This licensed professional license is not current. The license was granted 05/22/1997 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

MANOOCHEH M PEZESHKI
Controlled Substance Registration - Physician
License number
01046820B
Date granted
05/22/1997
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
21389 OSBORNE RD, LAKEVILLE IN 46536
indianalicensing.org
ID 5881292
LAST UPDATED 2024-03-25 15:04:49 UTC

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