Indiana
Professional Licensing Agency
ZOREEN MUSTAFA ANSARI
Controlled Substance Registration - Physician
License number
01036147B
Date granted
10/01/1987
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
17615 STATE ROAD 23, SOUTH BEND IN 46635
indianalicensing.org
ID 5922720
LAST UPDATED 2024-03-16 05:40:30 UTC
LAST UPDATED 2024-03-16 05:40:30 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.