Kenneth K. Moghadam
Controlled Substance Registration - Physician
Indiana 01051029B Expired
This Indiana license was held by Kenneth K. Moghadam. The license is no longer active. It was granted on 05/12/2005 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 01051029B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/12/2005 (about 20 years ago)
- Expiry Date: 06/30/2011 (almost 14 years ago)
LOCATIONS
A Address
Jarrett Fertility Group, 11725 Illionis Street Suite# 515, Carmel IN 46032