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
LAST UPDATED 2024-02-25 15:23:19 UTC
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