License holder summary

Soraya Popal Nasraty is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Soraya Popal Nasraty is IMMEDIATE CARE CENTER, 610 EASTERN BOULEVARD, CLARKSVILLE IN 47129. This licensed professional license is not current. The license was granted 03/22/1991 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Soraya Popal Nasraty
Controlled Substance Registration - Physician
License number
01039057B
Date granted
03/22/1991
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
IMMEDIATE CARE CENTER, 610 EASTERN BOULEVARD, CLARKSVILLE IN 47129
indianalicensing.org
ID 5834839
LAST UPDATED 2024-02-06 19:41:42 UTC

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