License holder summary

Mark Samir Boutros is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark Samir Boutros is Indiana Internal Medicine Consultants, 701 E. County Line Road, Suite 101, Greenwood IN 46143. This licensed professional license is current. The license was granted 03/21/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mark Samir Boutros
Controlled Substance Registration - Physician
License number
01070720B
Date granted
03/21/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Indiana Internal Medicine Consultants, 701 E. County Line Road, Suite 101, Greenwood IN 46143
indianalicensing.org
ID 5862135
LAST UPDATED 2024-02-20 07:19:29 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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