License holder summary

Mathew Dale Taylor is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Mathew Dale Taylor is Major Hospital, 150 West Washington Street, Shelbyville IN 46176. This licensed professional license is not current. The license was granted 09/24/2010 and expired on 06/30/2014.

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

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