License holder summary

Rafat Ansari is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Rafat Ansari is Michiana Hemtology Oncology, P.C., 900 I Street, La Porte IN 46350. This licensed professional license is not current. The license was granted 10/22/1998 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Rafat Ansari
Controlled Substance Registration - Physician
License number
01028409C
Date granted
10/22/1998
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Michiana Hemtology Oncology, P.C., 900 I Street, La Porte IN 46350
indianalicensing.org
ID 5878411
LAST UPDATED 2024-04-03 22:19:59 UTC

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