License holder summary

MATTHEW LOUIS BLACK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MATTHEW LOUIS BLACK is 13963 MORSE, CEDAR LAKE IN 46303. This licensed professional license is not current. The license was granted 12/01/1994 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

MATTHEW LOUIS BLACK
Controlled Substance Registration - Physician
License number
01043262C
Date granted
12/01/1994
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
13963 MORSE, CEDAR LAKE IN 46303
indianalicensing.org
ID 5832621
LAST UPDATED 2026-04-01 18:35:58 UTC

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