Indiana
Professional Licensing Agency
John Albert Mattingly
Controlled Substance Registration - Dentist
License number
12006553B
Date granted
02/28/1986
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
730 Corydon Ridge Rd., Corydon IN 47112
indianalicensing.org
ID 5088388
LAST UPDATED 2024-04-19 01:42:55 UTC
LAST UPDATED 2024-04-19 01:42:55 UTC
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