Indiana
Professional Licensing Agency
Samreen Mattoo
Controlled Substance Registration - Physician
License number
01071415B
Date granted
07/16/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IU Health Laporte Hospital, 1007 Lincolnway, La Porte IN 46350
indianalicensing.org
ID 5878460
LAST UPDATED 2024-02-28 06:19:34 UTC
LAST UPDATED 2024-02-28 06:19:34 UTC
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