License holder summary

T M MIZANUR RAHMAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for T M MIZANUR RAHMAN is Dukes Memorial Hospital, 275 W. 12th Street Attention: Cindy Peconga, Peru IN 46970. This licensed professional license is not current. The license was granted 06/24/1993 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

T M MIZANUR RAHMAN
Controlled Substance Registration - Physician
License number
01041498B
Date granted
06/24/1993
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Dukes Memorial Hospital, 275 W. 12th Street Attention: Cindy Peconga, Peru IN 46970
indianalicensing.org
ID 5909678
LAST UPDATED 2024-05-03 10:11:54 UTC

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