Indiana
Professional Licensing Agency
Mathew Theckummuryl Abraham
Controlled Substance Registration - Physician
License number
01052752C
Date granted
02/11/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Heart City Health Center, Inc., 236 Simpson Ave., Elkhart IN 46516
indianalicensing.org
ID 5847906
LAST UPDATED 2026-06-01 03:03:29 UTC
LAST UPDATED 2026-06-01 03:03:29 UTC
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