Basem A. Yacoub
Controlled Substance Registration - Physician
Indiana 01041730B Expired
This Indiana license was held by Basem A. Yacoub. The license is no longer active. It was granted on 07/29/1993 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01041730B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/29/1993 (almost 32 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Address
Methodist Hospital, 600 Grant Street, Gary IN 46402