Henna Mukhtar Malik

Controlled Substance Registration - Physician

Indiana  01064564B   Expired

This Indiana license was held by Henna Mukhtar Malik. The license is no longer active. It was granted on 11/19/2007 and expired on 06/30/2009

LICENSE DETAILS

  • License Number: 01064564B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 11/19/2007 (over 18 years ago)
  • Expiry Date: 06/30/2009 (almost 17 years ago)

LOCATIONS

A Address

1401 Chester Blvd., Richmond IN 47374