License holder summary

David Michael Mathis is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for David Michael Mathis is Logansport State Hospital, 1098 South Rd 25, Logansport IN 46947. This licensed professional license is not current. The license was granted 11/23/2004 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

David Michael Mathis
Controlled Substance Registration-Osteopathic Physician
License number
02002859B
Date granted
11/23/2004
Date expires
06/30/2007
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Logansport State Hospital, 1098 South Rd 25, Logansport IN 46947
indianalicensing.org
ID 5807804
LAST UPDATED 2024-03-07 18:31:05 UTC

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