License holder summary

Miriam Patricia Zidehsarai is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Miriam Patricia Zidehsarai is 950 W. Walnut, R 2-202, Indianapolis IN 46202. This licensed professional license is not current. The license was granted 11/15/2004 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Miriam Patricia Zidehsarai
Controlled Substance Registration-Osteopathic Physician
License number
02002822B
Date granted
11/15/2004
Date expires
06/30/2009
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
950 W. Walnut, R 2-202, Indianapolis IN 46202
indianalicensing.org
ID 5805255
LAST UPDATED 2024-04-06 10:19:19 UTC

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