License holder summary

MALATHY VARATHARAJAH is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MALATHY VARATHARAJAH is EXTEND CARE, 11049 STATE RD 101, BROOKVILLE IN 47012. This licensed professional license is not current. The license was granted 01/26/1999 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

MALATHY VARATHARAJAH
Controlled Substance Registration - Physician
License number
01050018B
Date granted
01/26/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
EXTEND CARE, 11049 STATE RD 101, BROOKVILLE IN 47012
indianalicensing.org
ID 5828279
LAST UPDATED 2024-05-02 13:47:31 UTC

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