Indiana
Professional Licensing Agency
Usama Moustafa Moustafa
Controlled Substance Registration - Physician
License number
01064003B
Date granted
09/18/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
La Porte Regional Health System, 901 Lincolnway, Ste 206, La Porte IN 46350
indianalicensing.org
ID 5878652
LAST UPDATED 2024-04-25 16:45:08 UTC
LAST UPDATED 2024-04-25 16:45:08 UTC
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