Indiana
Professional Licensing Agency
Ambar Matta
Medical Residency Permit
License number
11016932A
Date granted
09/13/2012
Date expires
06/30/2013
Class
Medical Residency Permit
Status
Expired
Address
Covington KY 41011
indianalicensing.org
ID 5974245
LAST UPDATED 2026-06-06 15:28:36 UTC
LAST UPDATED 2026-06-06 15:28:36 UTC
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