Indiana
Professional Licensing Agency
Dalton Matthew Thoman
Controlled Substance Registration - Dentist
License number
12006241B
Date granted
07/31/1986
Date expires
03/01/1996
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
8008 RIVER BAY DRIVE EAST, INDIANAPOLIS IN 46240
indianalicensing.org
ID 5101937
LAST UPDATED 2024-02-12 07:21:21 UTC
LAST UPDATED 2024-02-12 07:21:21 UTC
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