License holder summary

Yazan Mousa Alia is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Yazan Mousa Alia is St. Joseph Regional Medical Center, Medical Staff Office, 5215 Holy Cross Parkway, Mishawaka IN 46545. This licensed professional license is current. The license was granted 09/03/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Yazan Mousa Alia
Controlled Substance Registration - Physician
License number
01073079B
Date granted
09/03/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Regional Medical Center, Medical Staff Office, 5215 Holy Cross Parkway, Mishawaka IN 46545
indianalicensing.org
ID 5896222
LAST UPDATED 2024-03-27 00:49:05 UTC

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