Indiana
Professional Licensing Agency
Anthony M. Mattera
Controlled Substance Registration-Osteopathic Physician
License number
02000262B
Date granted
02/08/1990
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Dyer Family Practice South, 14785 W. 101st Avenue, Dyer IN 46311
indianalicensing.org
ID 5798402
LAST UPDATED 2024-02-23 16:53:40 UTC
LAST UPDATED 2024-02-23 16:53:40 UTC
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