License holder summary

Tan-Lucien Hassan Mohammed is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Tan-Lucien Hassan Mohammed is Sullivan County Comm. Hospital, 320 North Section Street, Sullivan IN 47882. This licensed professional license is not current. The license was granted 10/05/2005 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Tan-Lucien Hassan Mohammed
Controlled Substance Registration - Physician
License number
01060269B
Date granted
10/05/2005
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Sullivan County Comm. Hospital, 320 North Section Street, Sullivan IN 47882
indianalicensing.org
ID 5923439
LAST UPDATED 2024-04-20 21:58:34 UTC

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