M SAMIR BAWAB
Controlled Substance Registration - Physician
Indiana 01025535B Expired
This Indiana license was held by M SAMIR BAWAB. The license is no longer active. It was granted on 04/30/1986 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01025535B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/30/1986 (about 38 years ago)
- Expiry Date: 06/30/2003 (almost 21 years ago)
LOCATIONS
A Address
720 E CEDAR STREET #10, SOUTH BEND IN 46617