License holder summary

Mazen M Ibrahim is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mazen M Ibrahim is 2100 Market Street Suite 102, Charlestown IN 47111. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Mazen M Ibrahim
Controlled Substance Registration - Physician
License number
01028371B
Date granted
01/31/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2100 Market Street Suite 102, Charlestown IN 47111
indianalicensing.org
ID 5833236
LAST UPDATED 2024-04-17 02:52:28 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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