License holder summary

Tania Milad Matta is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Tania Milad Matta is 915 Sagamore Pkwy West, West Lafayette IN 47906. This licensed professional license is not current. The license was granted 06/21/2005 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Tania Milad Matta
Controlled Substance Registration - Physician
License number
01060593B
Date granted
06/21/2005
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
915 Sagamore Pkwy West, West Lafayette IN 47906
indianalicensing.org
ID 5934623
LAST UPDATED 2024-04-12 05:54:23 UTC

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