Indiana
Professional Licensing Agency
Dean Lloyd Mattox
Controlled Substance Registration - Physician
License number
01020833B
Date granted
02/28/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Lutheran Medical Group, 1109 W. Maumee St, Angola IN 46703
indianalicensing.org
ID 5818552
LAST UPDATED 2024-02-25 00:42:55 UTC
LAST UPDATED 2024-02-25 00:42:55 UTC
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