Indiana
Professional Licensing Agency
Basem A. Yacoub
Controlled Substance Registration - Physician
License number
01041730B
Date granted
07/29/1993
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Methodist Hospital, 600 Grant Street, Gary IN 46402
indianalicensing.org
ID 5856256
LAST UPDATED 2024-03-15 21:21:08 UTC
LAST UPDATED 2024-03-15 21:21:08 UTC
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