License holder summary

Miriam Lela Ibrahim is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Miriam Lela Ibrahim is American Health Network Physical Medicine & Rehab, 1107 South Tillotson Avenue, Muncie IN 47304. This licensed professional license is current. The license was granted 08/28/1997 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Miriam Lela Ibrahim
Controlled Substance Registration - Physician
License number
01047444B
Date granted
08/28/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
American Health Network Physical Medicine & Rehab, 1107 South Tillotson Avenue, Muncie IN 47304
indianalicensing.org
ID 5899005
LAST UPDATED 2024-02-11 06:30:30 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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