Ala Jaber Albazzaz

Controlled Substance Registration - Physician

Indiana  01043313B   Suspended

This Indiana license was held by Ala Jaber Albazzaz. The license is no longer active. It was granted on 05/11/1998 and expired on 06/30/1999

LICENSE DETAILS

  • License Number: 01043313B
  • Category: CSR-Physician
  • Status: Suspended
  • Date Granted: 05/11/1998 (about 28 years ago)
  • Expiry Date: 06/30/1999 (about 27 years ago)

LOCATIONS

A Address

INSTITUTE AND FAMILY HEALTH, 4481 BROADWAY, GARY IN 46409