Indiana
Professional Licensing Agency
Muhammad Mazen Kudaimi
Controlled Substance Registration - Physician
License number
01036331B
Date granted
12/22/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
801 MACARTHUR BLVD SUITE 303, Munster IN 46321
indianalicensing.org
ID 5901090
LAST UPDATED 2024-04-10 23:06:32 UTC
LAST UPDATED 2024-04-10 23:06:32 UTC
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