Indiana
Professional Licensing Agency
Michael Issam Maitar
Controlled Substance Registration - Physician
License number
01056686B
Date granted
08/21/2002
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Lake Side Surgery, 810 W. Chicago, East Chicago IN 46312
indianalicensing.org
ID 5845673
LAST UPDATED 2024-02-28 13:32:47 UTC
LAST UPDATED 2024-02-28 13:32:47 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.