Indiana
Professional Licensing Agency
Jamal Atalla
Controlled Substance Registration - Physician
License number
01059473B
Date granted
07/09/2004
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Jamal Atalla, 1030 North J St., Richmond IN 47374
indianalicensing.org
ID 5913269
LAST UPDATED 2024-01-12 01:34:35 UTC
LAST UPDATED 2024-01-12 01:34:35 UTC
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