Indiana
Professional Licensing Agency
Heather Sue Mattern
Controlled Substance Registration-Physician Assistant
License number
10000719B
Date granted
12/07/2007
Date expires
06/30/2010
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
1811 Charlton Court, Goshen IN 46526
indianalicensing.org
ID 8386776
LAST UPDATED 2024-03-18 14:17:51 UTC
LAST UPDATED 2024-03-18 14:17:51 UTC
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