License holder summary

Denise Mattox is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Denise Mattox is CAYLOR NICKEL MEDICAL CENTER, ONE CAYLOR NICKEL SQUARE, BLUFFTON IN 46714. This licensed professional license is not current. The license was granted 07/08/1991 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

Denise Mattox
Controlled Substance Registration - Physician
License number
01038057B
Date granted
07/08/1991
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CAYLOR NICKEL MEDICAL CENTER, ONE CAYLOR NICKEL SQUARE, BLUFFTON IN 46714
indianalicensing.org
ID 5826321
LAST UPDATED 2024-03-10 12:56:45 UTC

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