License holder summary

BASSAM MOUSHMOUSH is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for BASSAM MOUSHMOUSH is ST CATHERINE HOSPITAL-LETICIA GRIFFIN, 4321 FIR STREET, EAST CHICAGO IN 46312. This licensed professional license is not current. The license was granted 06/14/1989 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

BASSAM MOUSHMOUSH
Controlled Substance Registration - Physician
License number
01037118B
Date granted
06/14/1989
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST CATHERINE HOSPITAL-LETICIA GRIFFIN, 4321 FIR STREET, EAST CHICAGO IN 46312
indianalicensing.org
ID 5845002
LAST UPDATED 2024-03-02 19:39:51 UTC

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