License holder summary

ROBERT WILLIAM MAITLEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ROBERT WILLIAM MAITLEN is JASPER FAMILY PHYSICIANS, 1950 ST CHARLES STREET #4, JASPER IN 47546. This licensed professional license is current. The license was granted 04/18/1989 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

ROBERT WILLIAM MAITLEN
Controlled Substance Registration - Physician
License number
01037116B
Date granted
04/18/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
JASPER FAMILY PHYSICIANS, 1950 ST CHARLES STREET #4, JASPER IN 47546
indianalicensing.org
ID 5872048
LAST UPDATED 2024-02-07 10:41:54 UTC

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