License holder summary

FAYEZ S TUSHAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for FAYEZ S TUSHAN is 1400 N RITTER AVE #375, INDIANAPOLIS IN 46219. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

FAYEZ S TUSHAN
Controlled Substance Registration - Physician
License number
01023737B
Date granted
07/31/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1400 N RITTER AVE #375, INDIANAPOLIS IN 46219
indianalicensing.org
ID 5869335
LAST UPDATED 2024-04-12 06:09:29 UTC

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