License holder summary

MUFIT HUSAM KESIM is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MUFIT HUSAM KESIM is BRISTOL STREET PEDIATRIC ASSOCIATES, 1627 EAST BRISTOL STREET, ELKHART IN 46514. This licensed professional license is not current. The license was granted 05/31/1986 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

MUFIT HUSAM KESIM
Controlled Substance Registration - Physician
License number
01018706B
Date granted
05/31/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BRISTOL STREET PEDIATRIC ASSOCIATES, 1627 EAST BRISTOL STREET, ELKHART IN 46514
indianalicensing.org
ID 5848031
LAST UPDATED 2024-03-03 14:36:17 UTC

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