License holder summary

Tabassum Hatimi is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Tabassum Hatimi is Broadway Family Medicine, 3113 North Broadway, Anderson IN 46012. This licensed professional license is current. The license was granted 04/08/1996 and expired on 10/31/2015.

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

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