License holder summary

Ana Lee Matos is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Ana Lee Matos is Norton Immediate Care Center, 2051 Clevidence Blvd., Clarksville IN 47129. This licensed professional license is current. The license was granted 11/04/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Ana Lee Matos
Controlled Substance Registration - Physician
License number
01073125B
Date granted
11/04/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Norton Immediate Care Center, 2051 Clevidence Blvd., Clarksville IN 47129
indianalicensing.org
ID 11949666
LAST UPDATED 2024-02-15 15:17:20 UTC

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