Indiana
Professional Licensing Agency
Rania Khoukaz
Controlled Substance Registration - Physician
License number
01064802B
Date granted
02/14/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Regional Medical Center, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5895746
LAST UPDATED 2024-06-10 08:59:56 UTC
LAST UPDATED 2024-06-10 08:59:56 UTC
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