License holder summary

Charles Mathew Middleton is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Charles Mathew Middleton is Middleton Family Dentist, 4602 East State Blved, Fort Wayne IN 46815. This licensed professional license is current. The license was granted 06/07/2010 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Charles Mathew Middleton
Controlled Substance Registration - Dentist
License number
12011467B
Date granted
06/07/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Middleton Family Dentist, 4602 East State Blved, Fort Wayne IN 46815
indianalicensing.org
ID 5094270
LAST UPDATED 2024-03-16 15:10:25 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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