License holder summary

FAWZI JERJES F HATTAB is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for FAWZI JERJES F HATTAB is 4107 SYLVAN DRIVE, FLOYDS KNOBS IN 47119. This licensed professional license is not current. The license was granted 10/07/1992 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

FAWZI JERJES F HATTAB
Controlled Substance Registration - Physician
License number
01035090B
Date granted
10/07/1992
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4107 SYLVAN DRIVE, FLOYDS KNOBS IN 47119
indianalicensing.org
ID 5852584
LAST UPDATED 2024-02-19 21:18:22 UTC

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