Indiana
Professional Licensing Agency
Shafagh Mottaghian Monazzam
Temporary Medical Doctor Permit
License number
99057355A
Date granted
05/30/2013
Date expires
08/30/2013
Class
Temporary Medical Doctor Permit
Status
Expired
Address
Huntington Beach CA 92649
indianalicensing.org
ID 6132759
LAST UPDATED 2024-03-01 06:24:56 UTC
LAST UPDATED 2024-03-01 06:24:56 UTC
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