Indiana
Professional Licensing Agency
JAMES FITCH MATLOCK
Controlled Substance Registration - Dentist
License number
12004431B
Date granted
06/10/1943
Date expires
02/28/1983
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
850 CARMEN LANE, GREENWOOD IN 46142
indianalicensing.org
ID 5099199
LAST UPDATED 2024-03-01 06:29:58 UTC
LAST UPDATED 2024-03-01 06:29:58 UTC
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