Mouhammad Bassel Ericsoussi
Controlled Substance Registration - Physician
Indiana 01069620B Active
This Indiana license is held by Mouhammad Bassel Ericsoussi. The license is currently active. It was granted on 11/04/2011 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01069620B
- Category: CSR-Physician
- Status: Active
- Date Granted: 11/04/2011 (over 13 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Franciscan Medical Specialists, 5529 Hohman Avenue, Hammond IN 46320
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