License holder summary

Samir Ishak is a Physician licensed to practice in Indiana. The address on file for Samir Ishak is Fort Wayne IN 46805. This licensed professional license is current. The license was granted 05/21/1999 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Samir Ishak
Physician
License number
01050654A
Date granted
05/21/1999
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Fort Wayne IN 46805
indianalicensing.org
ID 6054006
LAST UPDATED 2024-03-29 23:30:51 UTC

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