License holder summary

OMAR DALLOUL is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for OMAR DALLOUL is ST ANTHONY MEMORIAL MEDICAL CENTER, 301 W HOMER ST, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 04/05/2000 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

OMAR DALLOUL
Controlled Substance Registration - Physician
License number
01047295B
Date granted
04/05/2000
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST ANTHONY MEMORIAL MEDICAL CENTER, 301 W HOMER ST, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5893313
LAST UPDATED 2024-05-03 04:13:50 UTC

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