Indiana
Professional Licensing Agency
Mohammad A. Ansari
Controlled Substance Registration - Physician
License number
01032563B
Date granted
07/31/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3301 West Fox Ridge Lane, Muncie IN 47304
indianalicensing.org
ID 5899009
LAST UPDATED 2024-02-20 22:19:41 UTC
LAST UPDATED 2024-02-20 22:19:41 UTC
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