License holder summary

Matthew Jameson Backs is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Matthew Jameson Backs is Afdent, 605 West Douglas Road, Mishawaka IN 46545. This licensed professional license is current. The license was granted 06/25/2013 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Matthew Jameson Backs
Controlled Substance Registration - Dentist
License number
12012012B
Date granted
06/25/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Afdent, 605 West Douglas Road, Mishawaka IN 46545
indianalicensing.org
ID 5112579
LAST UPDATED 2024-03-18 01:00:56 UTC

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