License holder summary

Asim Ibrahim Elmahboub is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Asim Ibrahim Elmahboub is Fayette Regional Health System, 1941 Virginia Avenue attn: Kay Pflum, Connersville IN 47331. This licensed professional license is current. The license was granted 04/14/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Asim Ibrahim Elmahboub
Controlled Substance Registration - Physician
License number
01065739B
Date granted
04/14/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Fayette Regional Health System, 1941 Virginia Avenue attn: Kay Pflum, Connersville IN 47331
indianalicensing.org
ID 5837633
LAST UPDATED 2024-03-15 17:17:09 UTC

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