Imad E. Khadra

Controlled Substance Registration - Physician

Indiana  01036728B   Active

This Indiana license is held by Imad E. Khadra. The license is currently active. It was granted on 06/06/1988 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01036728B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 06/06/1988 (about 38 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

Sigma Medical Group, 2708 Ferry Street, Lafayette IN 47904