Imran Humayun Mirza
Controlled Substance Registration - Physician
Indiana 01071271B Active
This Indiana license is held by Imran Humayun Mirza. The license is currently active. It was granted on 12/27/2012 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01071271B
- Category: CSR-Physician
- Status: Active
- Date Granted: 12/27/2012 (over 11 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
Saint Jospeh Regional Medical Center, 5215 Holy Cross Pkwy, Mishawaka IN 46545
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