License holder summary

Aja Maia Montgomery is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Aja Maia Montgomery is Lifeworks Office Bldg., 3777 N Frontage Road, Michigan City IN 46360. This licensed professional license is current. The license was granted 10/03/2011 and expired on 10/31/2015.

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

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