License holder summary

Heather Lynne Mata is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Heather Lynne Mata is ISU, 530 N 5th Street, Terre Haute IN 47809. This licensed professional license is current. The license was granted 09/24/2010 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Heather Lynne Mata
Controlled Substance Registration-Physician Assistant
License number
10001212B
Date granted
09/24/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
ISU, 530 N 5th Street, Terre Haute IN 47809
indianalicensing.org
ID 8388614
LAST UPDATED 2024-02-21 15:36:03 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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