Jamal Atalla
Controlled Substance Registration - Physician
Indiana 01059473B Expired
This Indiana license was held by Jamal Atalla. The license is no longer active. It was granted on 07/09/2004 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01059473B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/09/2004 (almost 21 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
Jamal Atalla, 1030 North J St., Richmond IN 47374