Kamran Fasih Siddiqui
Controlled Substance Registration - Physician
Indiana 01059787B Active
This Indiana license is held by Kamran Fasih Siddiqui. The license is currently active. It was granted on 10/21/2004 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01059787B
- Category: CSR-Physician
- Status: Active
- Date Granted: 10/21/2004 (over 20 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Elkhart Clinic, Attn: Ann Mattei, 303 South Nappanee St., Elkhart IN 46514
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