License holder summary

Mohammed Qarnain Fazal is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mohammed Qarnain Fazal is P O BOX 2457, 164 SAGAMORE PKWY W, West Lafayette IN 47996-2457. This licensed professional license is not current. The license was granted 07/25/1986 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Mohammed Qarnain Fazal
Controlled Substance Registration - Physician
License number
01029216B
Date granted
07/25/1986
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 2457, 164 SAGAMORE PKWY W, West Lafayette IN 47996-2457
indianalicensing.org
ID 5934314
LAST UPDATED 2024-02-18 17:10:05 UTC

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