Indiana
Professional Licensing Agency
Mathew Dale Taylor
Controlled Substance Registration-Physician Assistant
License number
10001208B
Date granted
09/24/2010
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Suspended
Address
Major Hospital, 150 West Washington Street, Shelbyville IN 46176
indianalicensing.org
ID 8388484
LAST UPDATED 2024-04-04 02:55:36 UTC
LAST UPDATED 2024-04-04 02:55:36 UTC
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