Indiana
Professional Licensing Agency
S TAHA ANVARI
Controlled Substance Registration - Physician
License number
01023538B
Date granted
07/31/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
212 WEST 6TH STREET, JASPER IN 47546
indianalicensing.org
ID 5872078
LAST UPDATED 2024-05-12 20:25:31 UTC
LAST UPDATED 2024-05-12 20:25:31 UTC
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