Indiana
Professional Licensing Agency
Ayman M. Ibrahim
Controlled Substance Registration-Osteopathic Physician
License number
02003764B
Date granted
10/28/2010
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
La Porte Regional Physician Network, Adm Office, 1100 Lincolnway, La Porte IN 46350
indianalicensing.org
ID 5806787
LAST UPDATED 2024-03-15 19:19:36 UTC
LAST UPDATED 2024-03-15 19:19:36 UTC
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