Indiana
Professional Licensing Agency
Matthew L Carr
Controlled Substance Registration - Physician
License number
01058525D
Date granted
06/13/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Ft Wayne Med Oncology & Hematology, 401 Sawyer Road, Kendallville IN 46755
indianalicensing.org
ID 5874998
LAST UPDATED 2024-03-28 08:16:30 UTC
LAST UPDATED 2024-03-28 08:16:30 UTC
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