ASSAD MUKHTAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

Title

First Name

ASSAD

Last Name

MUKHTAR

Business Name

ASSAD MUKHTAR MD

Original Issue Date

10/28/2021

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

FISHERS

State

Zip

46037

County

HAMILTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023