Indiana
Professional Licensing Agency
Dean Afif Shoucair
Controlled Substance Registration-Osteopathic Physician
License number
02003571B
Date granted
05/21/2010
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Health Access Clinics, 6615 S. Boundary Road, Portage IN 46368
indianalicensing.org
ID 5811829
LAST UPDATED 2024-03-27 22:25:54 UTC
LAST UPDATED 2024-03-27 22:25:54 UTC
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