T M MIZANUR RAHMAN
Controlled Substance Registration - Physician
Indiana 01041498B Expired
This Indiana license was held by T M MIZANUR RAHMAN. The license is no longer active. It was granted on 06/24/1993 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01041498B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 06/24/1993 (almost 32 years ago)
- Expiry Date: 06/30/2003 (almost 22 years ago)
LOCATIONS
A Address
Dukes Memorial Hospital, 275 W. 12th Street Attention: Cindy Peconga, Peru IN 46970