Indiana
Professional Licensing Agency
FOUAD ELJARRAH
Controlled Substance Registration - Physician
License number
01049293B
Date granted
03/15/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CHARTER SOUTH BEND BEHAV HEALTH SYSTEM, 6704 N MAIN ST, GRANGER IN 46530
indianalicensing.org
ID 5859485
LAST UPDATED 2024-02-17 05:36:07 UTC
LAST UPDATED 2024-02-17 05:36:07 UTC
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