License holder summary

Nurul Mohammed Islam is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Nurul Mohammed Islam is Indiana Health Centers, Inc, 3118 S. Lafountain Street, Kokomo IN 46902. This licensed professional license is not current. The license was granted 09/11/2003 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Nurul Mohammed Islam
Controlled Substance Registration - Physician
License number
01057305B
Date granted
09/11/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Indiana Health Centers, Inc, 3118 S. Lafountain Street, Kokomo IN 46902
indianalicensing.org
ID 5876809
LAST UPDATED 2024-03-21 11:30:26 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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