Indiana
Professional Licensing Agency
Tari Kutob
Controlled Substance Registration - Physician
License number
01043370B
Date granted
01/26/1995
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Tariq Kutob M.D. Office, 710 N. East Street, Wabash IN 46992
indianalicensing.org
ID 5932033
LAST UPDATED 2024-05-17 00:13:28 UTC
LAST UPDATED 2024-05-17 00:13:28 UTC
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