License holder summary

Matthew Douglas Pate is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Matthew Douglas Pate is 2705 South Berkley Road, Suite 2B, Kokomo IN 46902-8007. This licensed professional license is current. The license was granted 10/27/1993 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Matthew Douglas Pate
Controlled Substance Registration - Dentist
License number
12009623B
Date granted
10/27/1993
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2705 South Berkley Road, Suite 2B, Kokomo IN 46902-8007
indianalicensing.org
ID 5106672
LAST UPDATED 2024-04-03 20:09:41 UTC

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