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
LAST UPDATED 2024-03-21 12:30:25 UTC
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