Indiana
Professional Licensing Agency
RAGHID MOURTADA
Controlled Substance Registration - Physician
License number
01034514B
Date granted
08/29/1985
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3610 BROOKLYN AVENUE, FORT WAYNE IN 46809
indianalicensing.org
ID 5854211
LAST UPDATED 2024-04-11 00:04:24 UTC
LAST UPDATED 2024-04-11 00:04:24 UTC
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