License holder summary

John A Massimilian is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for John A Massimilian is ST ANTHONY HOSPITAL, 1201 S MAIN ST, CROWN POINT IN 46307. This licensed professional license is current. The license was granted 03/27/1997 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

John A Massimilian
Controlled Substance Registration-Osteopathic Physician
License number
02001829B
Date granted
03/27/1997
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
ST ANTHONY HOSPITAL, 1201 S MAIN ST, CROWN POINT IN 46307
indianalicensing.org
ID 5797689
LAST UPDATED 2024-05-16 06:58:45 UTC

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