License holder summary

Hire Matada Basavaraja is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Hire Matada Basavaraja is IU Health Ball Memorial Hospital, 2401 West University Avenue, Muncie IN 47303. This licensed professional license is current. The license was granted 05/31/1986 and expired on 10/31/2015.

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 2024-02-10 16:03:59 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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