Indiana
Professional Licensing Agency
Joseph Clair Mattingly
Controlled Substance Registration - Dentist
License number
12010630B
Date granted
11/04/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
James Krol And Associates, 2625 45th Street, Highland IN 46322
indianalicensing.org
ID 5100721
LAST UPDATED 2024-03-26 21:00:20 UTC
LAST UPDATED 2024-03-26 21:00:20 UTC
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