License holder summary

Atta Khalil Bader is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Atta Khalil Bader is Familia Dental, 5328 Cold Water Road, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 05/17/2013 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Atta Khalil Bader
Controlled Substance Registration - Dentist
License number
12011938B
Date granted
05/17/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Familia Dental, 5328 Cold Water Road, Fort Wayne IN 46825
indianalicensing.org
ID 5094138
LAST UPDATED 2024-02-06 05:56:23 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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