Indiana
Professional Licensing Agency
SUHAIL MUHAMMAD BANISTER
Controlled Substance Registration - Physician
License number
01041958B
Date granted
11/17/1993
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BRISTOL ST PEDIATRIC ASSOCIATES, 1627 EAST BRISTOL STREET, ELKHART IN 46514
indianalicensing.org
ID 5848510
LAST UPDATED 2024-02-23 06:26:33 UTC
LAST UPDATED 2024-02-23 06:26:33 UTC
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