FUAD A MUKHTAR
Controlled Substance Registration - Physician
Indiana 01021309B Expired
This Indiana license was held by FUAD A MUKHTAR. The license is no longer active. It was granted on 02/28/1986 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01021309B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/28/1986 (over 39 years ago)
- Expiry Date: 06/30/2003 (almost 22 years ago)
LOCATIONS
A Address
11787 PEBBLEPOINTE PASS, CARMEL IN 46033