Indiana
Professional Licensing Agency
David Neal Matthews
Controlled Substance Registration - Dentist
License number
12007802B
Date granted
11/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3611 BROADWAY, FORT WAYNE IN 46807
indianalicensing.org
ID 5094496
LAST UPDATED 2024-03-22 22:19:04 UTC
LAST UPDATED 2024-03-22 22:19:04 UTC
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