License holder summary

MATTHEW GREGORY SMALL is a Medical Residency Permit licensed to practice in Indiana. The address on file for MATTHEW GREGORY SMALL is South Bend IN 46615. This licensed professional license is not current. The license was granted 06/05/2001 and expired on 06/30/2004.

Indiana

Professional Licensing Agency

MATTHEW GREGORY SMALL
Medical Residency Permit
License number
11010575A
Date granted
06/05/2001
Date expires
06/30/2004
Class
Medical Residency Permit
Status
Expired
Address
South Bend IN 46615
indianalicensing.org
ID 5996518
LAST UPDATED 2024-03-19 11:36:35 UTC

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