License holder summary

Faris Abdalla Khasawneh is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Faris Abdalla Khasawneh is Porter Regional Hospital, 85 East US Highway 6, Valparaiso IN 46383. This licensed professional license is current. The license was granted 01/28/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Faris Abdalla Khasawneh
Controlled Substance Registration - Physician
License number
01064452B
Date granted
01/28/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Porter Regional Hospital, 85 East US Highway 6, Valparaiso IN 46383
indianalicensing.org
ID 5928545
LAST UPDATED 2024-02-29 22:46:32 UTC

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