Basman A Salous
Controlled Substance Registration - Physician
Indiana 01043104B Active
This Indiana license is held by Basman A Salous. The license is currently active. It was granted on 10/14/1994 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01043104B
- Category: CSR-Physician
- Status: Active
- Date Granted: 10/14/1994 (over 30 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Main Street Medical Group, 6913 North Main Street, Granger IN 46530
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