Indiana
Professional Licensing Agency
Bashar Al Khatib
Controlled Substance Registration - Physician
License number
01053337B
Date granted
11/16/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1910 West Royal Drive, Muncie IN 47304
indianalicensing.org
ID 5897681
LAST UPDATED 2024-03-02 16:53:20 UTC
LAST UPDATED 2024-03-02 16:53:20 UTC
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