Rafat Ansari
Controlled Substance Registration - Physician
Indiana 01028409E Expired
This Indiana license was held by Rafat Ansari. The license is no longer active. It was granted on 09/17/2004 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01028409E
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/17/2004 (almost 21 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Address
Michiana Hematology-Oncology, P.C., 100 Navarre Place, Ste 5550, South Bend IN 46601