Ahmad Fathi

Controlled Substance Registration - Physician

Indiana  01029379B   Active

This Indiana license is held by Ahmad Fathi. The license is currently active. It was granted on 08/31/1986 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01029379B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 08/31/1986 (over 37 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

9130 COLUMBIA #A, MUNSTER IN 46321