Indiana
Professional Licensing Agency
Khaled A Reheem-Farag
Controlled Substance Registration - Physician
License number
01059379B
Date granted
06/25/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
7330 Indianapolis Blvd, Hammond IN 46324
indianalicensing.org
ID 5864425
LAST UPDATED 2024-03-30 17:36:44 UTC
LAST UPDATED 2024-03-30 17:36:44 UTC
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