Essam Mostafa
Controlled Substance Registration - Physician
Indiana 01057845B Expired
This Indiana license was held by Essam Mostafa. The license is no longer active. It was granted on 10/14/2003 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01057845B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 10/14/2003 (over 22 years ago)
- Expiry Date: 10/31/2013 (over 12 years ago)
LOCATIONS
A Address
Indiana Nephrology & Internal Medicine, 960 Chester Blvd., Richmond IN 47374