Indiana
Professional Licensing Agency
Tabassum Hatimi
Controlled Substance Registration - Physician
License number
01044493B
Date granted
04/08/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Broadway Family Medicine, 3113 North Broadway, Anderson IN 46012
indianalicensing.org
ID 5818181
LAST UPDATED 2024-04-01 23:17:00 UTC
LAST UPDATED 2024-04-01 23:17:00 UTC
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