License holder summary

SHAHID AZIZ ANSARI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SHAHID AZIZ ANSARI is SOUTHEASTERN MEDICAL CENTERS INC, 4020 CALUMET AVENUE, HAMMOND IN 46320. This licensed professional license is not current. The license was granted 01/25/1990 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

SHAHID AZIZ ANSARI
Controlled Substance Registration - Physician
License number
01037924B
Date granted
01/25/1990
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
SOUTHEASTERN MEDICAL CENTERS INC, 4020 CALUMET AVENUE, HAMMOND IN 46320
indianalicensing.org
ID 5865354
LAST UPDATED 2024-02-25 15:23:19 UTC

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