Imran Kazem

Controlled Substance Registration - Physician

Indiana  01063605B   Active

This Indiana license is held by Imran Kazem. The license is currently active. It was granted on 04/20/2007 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01063605B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 04/20/2007 (over 19 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

3032 Hamilton STreet, West Lafayette IN 47906