Indiana
Professional Licensing Agency
Subir Maitra
Controlled Substance Registration - Physician
License number
01043596C
Date granted
10/15/2002
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
810 West Chicago Avenue, East Chicago IN 46312
indianalicensing.org
ID 5846220
LAST UPDATED 2024-04-11 21:57:15 UTC
LAST UPDATED 2024-04-11 21:57:15 UTC
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