License holder summary

S TAHA ANVARI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for S TAHA ANVARI is 212 WEST 6TH STREET, JASPER IN 47546. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 06/30/1989.

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

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