License holder summary

VATHIAR A TAZUDEEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for VATHIAR A TAZUDEEN is COMMUNITY HOSPITAL, 412 NORTH MONROE, WILLIAMSPORT IN 47993. This licensed professional license is not current. The license was granted 10/02/1980 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

VATHIAR A TAZUDEEN
Controlled Substance Registration - Physician
License number
01030471B
Date granted
10/02/1980
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
COMMUNITY HOSPITAL, 412 NORTH MONROE, WILLIAMSPORT IN 47993
indianalicensing.org
ID 5935596
LAST UPDATED 2024-04-15 14:14:58 UTC

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