License holder summary

Samuel Baharestani is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Samuel Baharestani is Cincinnati Eye Institute, 275 Bielby Road, Lawrenceburg IN 47025. This licensed professional license is current. The license was granted 06/18/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Samuel Baharestani
Controlled Substance Registration - Physician
License number
01071229B
Date granted
06/18/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Cincinnati Eye Institute, 275 Bielby Road, Lawrenceburg IN 47025
indianalicensing.org
ID 5883285
LAST UPDATED 2026-03-26 14:39:35 UTC

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