Indiana
Professional Licensing Agency
Issam Moussa Maatouk
Controlled Substance Registration - Physician
License number
01041801B
Date granted
02/11/1994
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1940 Tour Trace, Chesterton IN 46304
indianalicensing.org
ID 5833656
LAST UPDATED 2024-03-25 20:29:12 UTC
LAST UPDATED 2024-03-25 20:29:12 UTC
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