License holder summary

Muhammad I Ali is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Muhammad I Ali is PATOKA FAMILY HEALTH CENTER, R R 1 BOX 167 HIGHWAY 64, ECKERTY IN 47116. This licensed professional license is not current. The license was granted 10/23/1997 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

Muhammad I Ali
Controlled Substance Registration - Physician
License number
01047719B
Date granted
10/23/1997
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PATOKA FAMILY HEALTH CENTER, R R 1 BOX 167 HIGHWAY 64, ECKERTY IN 47116
indianalicensing.org
ID 5846384
LAST UPDATED 2024-04-13 06:38:00 UTC

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