Mohammed Qarnain Fazal
Controlled Substance Registration - Physician
Indiana 01029216B Expired
This Indiana license was held by Mohammed Qarnain Fazal. The license is no longer active. It was granted on 07/25/1986 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01029216B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/25/1986 (about 40 years ago)
- Expiry Date: 06/30/2007 (about 19 years ago)
LOCATIONS
A Address
P O BOX 2457, 164 SAGAMORE PKWY W, West Lafayette IN 47996-2457