License holder summary

Ahmad Bassel Shughoury is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Ahmad Bassel Shughoury is Internal Med Assoc, 8995 Broadway, Merrillville IN 46411. This licensed professional license is current. The license was granted 07/07/2004 and expired on 10/31/2015.

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

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