License holder summary

Ibrahim A. Taha is a Controlled Substance Registration - Podiatrist licensed to practice in Indiana. The address on file for Ibrahim A. Taha is Saint Joseph Regional Medical Ctr, 837 East Cedar Street , Suite 100, South Bend IN 46617. This licensed professional license is not current. The license was granted 06/11/2004 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Ibrahim A. Taha
Controlled Substance Registration - Podiatrist
License number
07000982B
Date granted
06/11/2004
Date expires
06/30/2005
Class
Controlled Substance Registration - Podiatrist
Status
Expired
Address
Saint Joseph Regional Medical Ctr, 837 East Cedar Street , Suite 100, South Bend IN 46617
indianalicensing.org
ID 8443167
LAST UPDATED 2024-02-28 12:45:12 UTC

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