License holder summary

Theresa Mary Matzura is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Theresa Mary Matzura is CardioSpecialist, Ltd, 24 Joliet Street, Suite 401, Dyer IN 46311. This licensed professional license is not current. The license was granted 07/06/1988 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Theresa Mary Matzura
Controlled Substance Registration-Osteopathic Physician
License number
02000988B
Date granted
07/06/1988
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
CardioSpecialist, Ltd, 24 Joliet Street, Suite 401, Dyer IN 46311
indianalicensing.org
ID 5798795
LAST UPDATED 2024-04-04 14:21:17 UTC

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