License holder summary

Issam Moussa Maatouk is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Issam Moussa Maatouk is 1940 Tour Trace, Chesterton IN 46304. This licensed professional license is not current. The license was granted 02/11/1994 and expired on 10/31/2013.

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

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