Indiana
Professional Licensing Agency
Guy Kaissar
Controlled Substance Registration - Physician
License number
01045124B
Date granted
06/05/1996
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Northside Anesthesia Services, LLC, 9899 East 126th Street, Fishers IN 46038
indianalicensing.org
ID 5851846
LAST UPDATED 2026-05-16 05:27:34 UTC
LAST UPDATED 2026-05-16 05:27:34 UTC
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