Indiana
Professional Licensing Agency
Matthew Bryan Teters
Controlled Substance Registration - Physician
License number
01058871B
Date granted
03/25/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Main Street Medical Group, 6913 N. Main Street, Granger IN 46530
indianalicensing.org
ID 5859571
LAST UPDATED 2024-03-03 21:36:24 UTC
LAST UPDATED 2024-03-03 21:36:24 UTC
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