Indiana
Professional Licensing Agency
Sami Sibai
Controlled Substance Registration - Physician
License number
01072020B
Date granted
01/02/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology, Inc., 620 W Edison Road Ste 110, Mishawaka IN 46545
indianalicensing.org
ID 5895855
LAST UPDATED 2024-04-14 07:28:24 UTC
LAST UPDATED 2024-04-14 07:28:24 UTC
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