License holder summary

THAIR ALI BARGHOUTHI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for THAIR ALI BARGHOUTHI is EMERGENCY ROOM ST MARY'S MED CENTER, 540 TYLER STREET, GARY IN 46402. This licensed professional license is not current. The license was granted 04/12/1990 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

THAIR ALI BARGHOUTHI
Controlled Substance Registration - Physician
License number
01038227B
Date granted
04/12/1990
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
EMERGENCY ROOM ST MARY'S MED CENTER, 540 TYLER STREET, GARY IN 46402
indianalicensing.org
ID 5857669
LAST UPDATED 2024-03-02 05:41:35 UTC

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