Farrokh Shahbahrami
Controlled Substance Registration - Physician
Indiana 01021706B Expired
This Indiana license was held by Farrokh Shahbahrami. The license is no longer active. It was granted on 01/31/1986 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01021706B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/31/1986 (over 39 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
715 W Bayles Road, Bloomington IN 47404-9400