License holder summary

M SAMIR BAWAB is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for M SAMIR BAWAB is 720 E CEDAR STREET #10, SOUTH BEND IN 46617. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

M SAMIR BAWAB
Controlled Substance Registration - Physician
License number
01025535B
Date granted
04/30/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
720 E CEDAR STREET #10, SOUTH BEND IN 46617
indianalicensing.org
ID 5921618
LAST UPDATED 2024-05-05 20:56:43 UTC

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