MOHTARAM MASOOD
Controlled Substance Registration - Physician
Indiana 01045015B Expired
This Indiana license was held by MOHTARAM MASOOD. The license is no longer active. It was granted on 10/02/1996 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01045015B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 10/02/1996 (over 29 years ago)
- Expiry Date: 06/30/2001 (almost 25 years ago)
LOCATIONS
A Address
PERRYVILLE CLINIC, 133 DEPT STREET, PERRYSVILLE IN 47974