Indiana
Professional Licensing Agency
Mohamad Hytham Rifai
Controlled Substance Registration - Physician
License number
01035906B
Date granted
06/09/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
200 East 89th Ave Ste 3A, Merrillville IN 46410
indianalicensing.org
ID 5891090
LAST UPDATED 2024-02-26 10:17:37 UTC
LAST UPDATED 2024-02-26 10:17:37 UTC
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