Indiana
Professional Licensing Agency
Fadi Alhafez
Controlled Substance Registration - Physician
License number
01062058B
Date granted
09/11/2006
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Tatum Family Health in Care of Home Physician, 1619 W. 5th Ave., Gary IN 46464
indianalicensing.org
ID 5856566
LAST UPDATED 2024-04-26 21:01:56 UTC
LAST UPDATED 2024-04-26 21:01:56 UTC
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