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
LAST UPDATED 2026-04-01 18:35:58 UTC
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