License holder summary

Matthew Leroy Creech is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Matthew Leroy Creech is Fort Wayne Dental Group, 7202 Engle Road, Fort Wayne IN 46804-2222. This licensed professional license is current. The license was granted 09/28/2000 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Matthew Leroy Creech
Controlled Substance Registration - Dentist
License number
12010298B
Date granted
09/28/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Fort Wayne Dental Group, 7202 Engle Road, Fort Wayne IN 46804-2222
indianalicensing.org
ID 5095395
LAST UPDATED 2024-03-26 21:28:49 UTC

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