Rafat Ansari
Controlled Substance Registration - Physician
Indiana 01028409C Expired
This Indiana license was held by Rafat Ansari. The license is no longer active. It was granted on 10/22/1998 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01028409C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 10/22/1998 (over 26 years ago)
- Expiry Date: 06/30/2009 (almost 16 years ago)
LOCATIONS
A Address
Michiana Hemtology Oncology, P.C., 900 I Street, La Porte IN 46350