Indiana
Professional Licensing Agency
Maleakal S. Mathew
Controlled Substance Registration - Physician
License number
01023677B
Date granted
09/30/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Hamilton Center Inc., 620 Eighth Avenue, P. O. Box 4323, Terre Haute IN 47804-0323
indianalicensing.org
ID 5925924
LAST UPDATED 2024-03-01 01:09:19 UTC
LAST UPDATED 2024-03-01 01:09:19 UTC
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