Indiana
Professional Licensing Agency
FUAD A MUKHTAR
Controlled Substance Registration - Physician
License number
01021309B
Date granted
02/28/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
11787 PEBBLEPOINTE PASS, CARMEL IN 46033
indianalicensing.org
ID 5830478
LAST UPDATED 2024-03-03 19:13:17 UTC
LAST UPDATED 2024-03-03 19:13:17 UTC
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