Indiana
Professional Licensing Agency
Fatima Gilak Fallah
Controlled Substance Registration - Physician
License number
01038833B
Date granted
11/29/1990
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEDICAL STAFF OFFICE, ST. MARGARET HOSPITAL 5454 HOHMAN AVE, Hammond IN 46320
indianalicensing.org
ID 5863935
LAST UPDATED 2024-03-03 22:31:52 UTC
LAST UPDATED 2024-03-03 22:31:52 UTC
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