Indiana
Professional Licensing Agency
Halah Hamzeh
Controlled Substance Registration - Physician
License number
01059516B
Date granted
10/08/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
South Lake Pediatrics PC, 8500 Broadway, Suite F, Merrillville IN 46410
indianalicensing.org
ID 5890357
LAST UPDATED 2026-03-26 04:34:03 UTC
LAST UPDATED 2026-03-26 04:34:03 UTC
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