License holder summary

MOHAMMAD A TABIB is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MOHAMMAD A TABIB is 3630 Willowcreek Road Suite 3, Portage IN 46368. This licensed professional license is current. The license was granted 07/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

MOHAMMAD A TABIB
Controlled Substance Registration - Physician
License number
01032527B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3630 Willowcreek Road Suite 3, Portage IN 46368
indianalicensing.org
ID 5911155
LAST UPDATED 2024-02-20 21:41:48 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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