Indiana
Professional Licensing Agency
MATHIAS S MOUNT
Controlled Substance Registration - Physician
License number
01011250B
Date granted
02/28/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
148 S LEWIS ST, BLOOMFIELD IN 47424
indianalicensing.org
ID 5823683
LAST UPDATED 2024-01-31 13:19:46 UTC
LAST UPDATED 2024-01-31 13:19:46 UTC
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