Indiana
Professional Licensing Agency
David Kent Matlock
Controlled Substance Registration - Physician
License number
01057687B
Date granted
03/26/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Bedford Regional Medical Center, 105 Teke Burton Drive, Mitchell IN 47446
indianalicensing.org
ID 5896277
LAST UPDATED 2024-02-06 17:02:29 UTC
LAST UPDATED 2024-02-06 17:02:29 UTC
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