Indiana
Professional Licensing Agency
Ahmad Bassel Shughoury
Controlled Substance Registration - Physician
License number
01059363B
Date granted
07/07/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Internal Med Assoc, 8995 Broadway, Merrillville IN 46411
indianalicensing.org
ID 5889781
LAST UPDATED 2024-02-04 02:12:38 UTC
LAST UPDATED 2024-02-04 02:12:38 UTC
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