Indiana
Professional Licensing Agency
Cherian Mathew
Controlled Substance Registration - Physician
License number
01026146B
Date granted
10/16/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5133 W. 500 N., Huntington IN 46750
indianalicensing.org
ID 5868476
LAST UPDATED 2024-04-02 23:32:18 UTC
LAST UPDATED 2024-04-02 23:32:18 UTC
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