Indiana
Professional Licensing Agency
Katrina Andrea Mattingly
Controlled Substance Registration - Physician
License number
01069823B
Date granted
06/22/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Catherine Hospital, 4321 Fir Street, East Chicago IN 46312
indianalicensing.org
ID 5845504
LAST UPDATED 2024-05-22 20:11:32 UTC
LAST UPDATED 2024-05-22 20:11:32 UTC
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