Indiana
Professional Licensing Agency
OMAR DALLOUL
Controlled Substance Registration - Physician
License number
01047295B
Date granted
04/05/2000
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST ANTHONY MEMORIAL MEDICAL CENTER, 301 W HOMER ST, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5893313
LAST UPDATED 2024-04-18 01:06:25 UTC
LAST UPDATED 2024-04-18 01:06:25 UTC
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