License holder summary

FAWZIA IBRAHIM SHEHATA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for FAWZIA IBRAHIM SHEHATA is MADISON CENTER, 403 EAST MADISON ST, SOUTH BEND IN 46617. This licensed professional license is not current. The license was granted 02/16/1993 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

FAWZIA IBRAHIM SHEHATA
Controlled Substance Registration - Physician
License number
01040895B
Date granted
02/16/1993
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MADISON CENTER, 403 EAST MADISON ST, SOUTH BEND IN 46617
indianalicensing.org
ID 5920908
LAST UPDATED 2024-03-04 02:52:02 UTC

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