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
LAST UPDATED 2024-03-07 18:31:05 UTC
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