License holder summary

Joseph Malcolm Mattox is a Medical Residency Permit licensed to practice in Indiana. The address on file for Joseph Malcolm Mattox is Fort Wayne IN 46815. This licensed professional license is not current. The license was granted 07/01/1998 and expired on 06/30/2000.

Indiana

Professional Licensing Agency

Joseph Malcolm Mattox
Medical Residency Permit
License number
11009120A
Date granted
07/01/1998
Date expires
06/30/2000
Class
Medical Residency Permit
Status
Expired
Address
Fort Wayne IN 46815
indianalicensing.org
ID 5979170
LAST UPDATED 2024-05-10 20:53:09 UTC

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