License holder summary

Jamal Atalla is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jamal Atalla is Jamal Atalla, 1030 North J St., Richmond IN 47374. This licensed professional license is not current. The license was granted 07/09/2004 and expired on 06/30/2007.

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

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