Indiana
Professional Licensing Agency
Mazen Khayat
Controlled Substance Registration - Physician
License number
01044238B
Date granted
09/27/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2200 MARKET STREET, CHARLESTOWN IN 47111
indianalicensing.org
ID 5833220
LAST UPDATED 2024-03-01 18:32:11 UTC
LAST UPDATED 2024-03-01 18:32:11 UTC
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