SA D EL ISSA
Controlled Substance Registration - Physician
Indiana 01023128B Expired
This Indiana license was held by SA D EL ISSA. The license is no longer active. It was granted on 01/29/1970 and expired on 06/30/1984
LICENSE DETAILS
- License Number: 01023128B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/29/1970 (over 54 years ago)
- Expiry Date: 06/30/1984 (almost 40 years ago)
LOCATIONS
A Address
3075 SOUTH CANAL RD, TERRE HAUTE IN 47802