License holder summary

RAGHID MOURTADA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RAGHID MOURTADA is 3610 BROOKLYN AVENUE, FORT WAYNE IN 46809. This licensed professional license is not current. The license was granted 08/29/1985 and expired on 06/30/1999.

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

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