Indiana
Professional Licensing Agency
Mirza Raheem
Controlled Substance Registration - Physician
License number
01026953B
Date granted
01/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1501 WABASH STREET STE 105, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5893203
LAST UPDATED 2026-05-01 18:49:19 UTC
LAST UPDATED 2026-05-01 18:49:19 UTC
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