License holder summary

Matthew John Martin is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Matthew John Martin is 1927 Broad Ripple Avenue, Indianapolis IN 46220. This licensed professional license is current. The license was granted 08/11/1998 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Matthew John Martin
Controlled Substance Registration - Dentist
License number
12010059B
Date granted
08/11/1998
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1927 Broad Ripple Avenue, Indianapolis IN 46220
indianalicensing.org
ID 5103548
LAST UPDATED 2024-04-23 21:32:16 UTC

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