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
LAST UPDATED 2024-03-18 18:14:18 UTC
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