License holder summary

GEILAN ISMAIL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GEILAN ISMAIL is NORTHSIDE CARDIOLOGY P C, 2708 FERRY STREET, LAFAYETTE IN 47904. This licensed professional license is not current. The license was granted 07/14/1993 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

GEILAN ISMAIL
Controlled Substance Registration - Physician
License number
01036595B
Date granted
07/14/1993
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
NORTHSIDE CARDIOLOGY P C, 2708 FERRY STREET, LAFAYETTE IN 47904
indianalicensing.org
ID 5879417
LAST UPDATED 2024-02-13 18:25:35 UTC

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