License holder summary

MANOOCHEHR S MANSHADI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MANOOCHEHR S MANSHADI is JEFFERSON HOSPITAL, 2700 RIVER CITY PARK ROAD, JEFFERSONVILLE IN 47130. This licensed professional license is not current. The license was granted 03/18/1988 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

MANOOCHEHR S MANSHADI
Controlled Substance Registration - Physician
License number
01032727B
Date granted
03/18/1988
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
JEFFERSON HOSPITAL, 2700 RIVER CITY PARK ROAD, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5873548
LAST UPDATED 2024-03-31 11:10:06 UTC

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