Indiana
Professional Licensing Agency
Wallace Edward Mathews
Controlled Substance Registration - Physician
License number
01037921B
Date granted
08/24/1989
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5498 E OAK KNOLL RD, ROLLING PRAIRIE IN 46371
indianalicensing.org
ID 5915661
LAST UPDATED 2024-04-10 09:11:48 UTC
LAST UPDATED 2024-04-10 09:11:48 UTC
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