License holder summary

Mario Matos Cruz is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mario Matos Cruz is 520 South Seventh Street, Vincennes IN 47591. This licensed professional license is current. The license was granted 09/13/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mario Matos Cruz
Controlled Substance Registration - Physician
License number
01045697B
Date granted
09/13/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
520 South Seventh Street, Vincennes IN 47591
indianalicensing.org
ID 5931083
LAST UPDATED 2024-04-03 19:58:16 UTC

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