Indiana
Professional Licensing Agency
Tarek Hakam Safadi
Controlled Substance Registration - Dentist
License number
12011468B
Date granted
10/21/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
8159 East 109th Avenue, Crown Point IN 46307
indianalicensing.org
ID 5089119
LAST UPDATED 2024-02-25 04:05:35 UTC
LAST UPDATED 2024-02-25 04:05:35 UTC
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