ABRAHAM P MATHEW
Controlled Substance Registration - Physician
Indiana 01043764B Expired
This Indiana license was held by ABRAHAM P MATHEW. The license is no longer active. It was granted on 05/25/1995 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01043764B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/25/1995 (about 29 years ago)
- Expiry Date: 06/30/2005 (almost 19 years ago)
LOCATIONS
A Address
ST MARGARET MERCY HOSPITAL MED. STAFF OFFICE, 5454 HOMAN AVE., Hammond IN 46320