Indiana
Professional Licensing Agency
Hire Matada Basavaraja
Controlled Substance Registration - Physician
License number
01028315B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IU Health Ball Memorial Hospital, 2401 West University Avenue, Muncie IN 47303
indianalicensing.org
ID 5898368
LAST UPDATED 2024-05-31 13:03:44 UTC
LAST UPDATED 2024-05-31 13:03:44 UTC
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