Adel Shafik Yaacoub
Controlled Substance Registration - Physician
Indiana 01039558C Expired
This Indiana license was held by Adel Shafik Yaacoub. The license is no longer active. It was granted on 03/18/2003 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01039558C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/18/2003 (about 23 years ago)
- Expiry Date: 06/30/2005 (almost 21 years ago)
LOCATIONS
A Address
1012 N. 14th Street, Lafayette IN 47904