License holder summary

Abdul Jabbar M. Jaboori is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Abdul Jabbar M. Jaboori is Heartcare, 7802 W Jefferson Blvd, Fort Wayne IN 46804. This licensed professional license is not current. The license was granted 03/29/2010 and expired on 06/30/2012.

Indiana

Professional Licensing Agency

Abdul Jabbar M. Jaboori
Controlled Substance Registration-Physician Assistant
License number
10000504B
Date granted
03/29/2010
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired Non-Renewable
Address
Heartcare, 7802 W Jefferson Blvd, Fort Wayne IN 46804
indianalicensing.org
ID 8386437
LAST UPDATED 2024-02-12 22:40:55 UTC

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