License holder summary

Bashar Mirie Bouso is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Bashar Mirie Bouso is KIDS CARE PC, 62 DOUGHTY ROAD SUITE 4, Lawrenceburg IN 47025. This licensed professional license is current. The license was granted 08/18/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Bashar Mirie Bouso
Controlled Substance Registration - Physician
License number
01042855B
Date granted
08/18/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
KIDS CARE PC, 62 DOUGHTY ROAD SUITE 4, Lawrenceburg IN 47025
indianalicensing.org
ID 5881688
LAST UPDATED 2024-03-18 18:14:18 UTC

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