JONATHAN A MAITEM
Controlled Substance Registration-Osteopathic Physician
Indiana 02001693B Expired
This Indiana license was held by JONATHAN A MAITEM. The license is no longer active. It was granted on 12/07/1995 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 02001693B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 12/07/1995 (over 28 years ago)
- Expiry Date: 06/30/2001 (almost 23 years ago)
LOCATIONS
A Address
ST MARGARET MERCY NORTH EMER DEPT, 5454 HOHMAN AVENUE, HAMMOND IN 46320