License holder summary

Basman A Salous is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Basman A Salous is Main Street Medical Group, 6913 North Main Street, Granger IN 46530. This licensed professional license is current. The license was granted 10/14/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Basman A Salous
Controlled Substance Registration - Physician
License number
01043104B
Date granted
10/14/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Main Street Medical Group, 6913 North Main Street, Granger IN 46530
indianalicensing.org
ID 5859397
LAST UPDATED 2024-02-15 08:19:38 UTC

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