License holder summary

Jack Shamoun is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jack Shamoun is St. joseph Hospital & Health Center, 1907 West Sycamore Street, Kokomo IN 46901. This licensed professional license is current. The license was granted 05/16/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jack Shamoun
Controlled Substance Registration - Physician
License number
01070898B
Date granted
05/16/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. joseph Hospital & Health Center, 1907 West Sycamore Street, Kokomo IN 46901
indianalicensing.org
ID 5876198
LAST UPDATED 2024-02-13 02:19:47 UTC

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