License holder summary

ROSHDI AZZAM is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ROSHDI AZZAM is 6200 Pioneer Trail NE, Georgetown IN 47122. This licensed professional license is not current. The license was granted 06/18/1985 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

ROSHDI AZZAM
Controlled Substance Registration - Physician
License number
01026444B
Date granted
06/18/1985
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
6200 Pioneer Trail NE, Georgetown IN 47122
indianalicensing.org
ID 5858165
LAST UPDATED 2024-06-15 00:45:26 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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