Indiana
Professional Licensing Agency
Ahmad Fathi
Controlled Substance Registration - Physician
License number
01029379B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9130 COLUMBIA #A, MUNSTER IN 46321
indianalicensing.org
ID 5899734
LAST UPDATED 2024-04-29 17:52:07 UTC
LAST UPDATED 2024-04-29 17:52:07 UTC
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