Indiana
Professional Licensing Agency
Matthew Lee Malters
Controlled Substance Registration - Physician
License number
01062947B
Date granted
11/06/2006
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Margaret Mercy Hospital: Medical Staff, 5454 Hohman Avenue, Hammond IN 46320
indianalicensing.org
ID 5864683
LAST UPDATED 2024-03-09 02:36:39 UTC
LAST UPDATED 2024-03-09 02:36:39 UTC
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