License holder summary

Kurian Mathew is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Kurian Mathew is Destiny Dental, 1738 165th Street, Hammond IN 46320. This licensed professional license is current. The license was granted 06/04/2014 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Kurian Mathew
Controlled Substance Registration - Dentist
License number
12012091B
Date granted
06/04/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Destiny Dental, 1738 165th Street, Hammond IN 46320
indianalicensing.org
ID 27545667
LAST UPDATED 2024-03-22 15:38:01 UTC

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