License holder summary

Philip Wayne Hassan is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Philip Wayne Hassan is 221 WEST BROADWAY, Monticello IN 47960. This licensed professional license is current. The license was granted 01/25/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Philip Wayne Hassan
Controlled Substance Registration - Physician
License number
01044645B
Date granted
01/25/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
221 WEST BROADWAY, Monticello IN 47960
indianalicensing.org
ID 5896644
LAST UPDATED 2024-02-03 21:39:48 UTC

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