License holder summary

Matthew Joseph Fraiz is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Matthew Joseph Fraiz is 3505 N. State Road 15, Suite A, Warsaw IN 46582. This licensed professional license is not current. The license was granted 08/12/2009 and expired on 03/01/2012.

Indiana

Professional Licensing Agency

Matthew Joseph Fraiz
Controlled Substance Registration - Dentist
License number
12011331B
Date granted
08/12/2009
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3505 N. State Road 15, Suite A, Warsaw IN 46582
indianalicensing.org
ID 5127201
LAST UPDATED 2024-03-21 12:30:25 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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