Ahmad Bassel Shughoury
Controlled Substance Registration - Physician
Indiana 01059363B Active
This Indiana license is held by Ahmad Bassel Shughoury. The license is currently active. It was granted on 07/07/2004 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01059363B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/07/2004 (almost 21 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Internal Med Assoc, 8995 Broadway, Merrillville IN 46411
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