Khaled A Reheem-Farag

Controlled Substance Registration - Physician

Indiana  01059379B   Active

This Indiana license is held by Khaled A Reheem-Farag. The license is currently active. It was granted on 06/25/2004 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01059379B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 06/25/2004 (almost 21 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

7330 Indianapolis Blvd, Hammond IN 46324