License holder summary

Yacoub L Massuda is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Yacoub L Massuda is PORTER MEMORIAL HOSPITAL, 814 LAPORTE AVENUE, Valparaiso IN 46383. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Yacoub L Massuda
Controlled Substance Registration - Physician
License number
01024734B
Date granted
09/30/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PORTER MEMORIAL HOSPITAL, 814 LAPORTE AVENUE, Valparaiso IN 46383
indianalicensing.org
ID 5930285
LAST UPDATED 2024-02-07 08:53:24 UTC

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