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