Indiana
Professional Licensing Agency
MIR B ALI
Controlled Substance Registration - Physician
License number
01034485B
Date granted
07/17/1985
Date expires
07/31/1986
Class
Controlled Substance Registration - Physician
Status
Expired
Address
600 GRANT STREET, GARY IN IN 46404
indianalicensing.org
ID 5857062
LAST UPDATED 2024-03-30 09:39:42 UTC
LAST UPDATED 2024-03-30 09:39:42 UTC
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