Indiana
Professional Licensing Agency
Aja Maia Montgomery
Controlled Substance Registration-Osteopathic Physician
License number
02003917B
Date granted
10/03/2011
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Lifeworks Office Bldg., 3777 N Frontage Road, Michigan City IN 46360
indianalicensing.org
ID 5808822
LAST UPDATED 2024-02-12 05:49:20 UTC
LAST UPDATED 2024-02-12 05:49:20 UTC
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