License holder summary

JONATHAN A MAITEM is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for JONATHAN A MAITEM is ST MARGARET MERCY NORTH EMER DEPT, 5454 HOHMAN AVENUE, HAMMOND IN 46320. This licensed professional license is not current. The license was granted 12/07/1995 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

JONATHAN A MAITEM
Controlled Substance Registration-Osteopathic Physician
License number
02001693B
Date granted
12/07/1995
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ST MARGARET MERCY NORTH EMER DEPT, 5454 HOHMAN AVENUE, HAMMOND IN 46320
indianalicensing.org
ID 5802572
LAST UPDATED 2024-02-17 01:58:48 UTC

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