Indiana
Professional Licensing Agency
Susan C. Sharifi
Controlled Substance Registration - Physician
License number
01043795B
Date granted
05/25/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1739 No. 4th Street, Terre Haute IN 47804-4002
indianalicensing.org
ID 5926731
LAST UPDATED 2024-04-12 11:49:13 UTC
LAST UPDATED 2024-04-12 11:49:13 UTC
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