Indiana
Professional Licensing Agency
Bassil Bayazed
Controlled Substance Registration - Physician
License number
01051011B
Date granted
07/27/2000
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
270 East Day Road, Suite 280, Mishawaka IN 46545-3452
indianalicensing.org
ID 5894589
LAST UPDATED 2024-04-11 07:45:03 UTC
LAST UPDATED 2024-04-11 07:45:03 UTC
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