Indiana
Professional Licensing Agency
Imad E. Khadra
Controlled Substance Registration - Physician
License number
01036728B
Date granted
06/06/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Sigma Medical Group, 2708 Ferry Street, Lafayette IN 47904
indianalicensing.org
ID 5879579
LAST UPDATED 2024-04-04 03:00:44 UTC
LAST UPDATED 2024-04-04 03:00:44 UTC
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