License holder summary

Bruce Allan Matis is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Bruce Allan Matis is 1121 West Michigan Street, Suite # S412, Indianapolis IN 46202-5211. This licensed professional license is current. The license was granted 08/11/1993 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Bruce Allan Matis
Controlled Substance Registration - Dentist
License number
12009604B
Date granted
08/11/1993
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1121 West Michigan Street, Suite # S412, Indianapolis IN 46202-5211
indianalicensing.org
ID 5101648
LAST UPDATED 2024-03-05 11:23:32 UTC

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