Indiana
Professional Licensing Agency
Badi Edmond El Osta
Controlled Substance Registration - Physician
License number
01063514B
Date granted
04/16/2007
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Home Physicians c/o Tatum Family Health Clinic, 1619 W 5th Avenue, Gary IN 46404
indianalicensing.org
ID 5856244
LAST UPDATED 2024-02-17 07:14:03 UTC
LAST UPDATED 2024-02-17 07:14:03 UTC
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