License holder summary

MOLY MATHEW is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MOLY MATHEW is ST ANTHONY MEDICAL CENTER, 1201 S MAIN STREET, CROWN POINT IN 46307. This licensed professional license is not current. The license was granted 05/22/1997 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

MOLY MATHEW
Controlled Substance Registration - Physician
License number
01046732B
Date granted
05/22/1997
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST ANTHONY MEDICAL CENTER, 1201 S MAIN STREET, CROWN POINT IN 46307
indianalicensing.org
ID 5841679
LAST UPDATED 2024-03-25 16:17:58 UTC

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