License holder summary

MATTHEW PHILIP CORMIER is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for MATTHEW PHILIP CORMIER is FORT WAYNE MEDICAL EDUCATION PROGRAM, 2434 LAKE AVE, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 10/22/1998 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

MATTHEW PHILIP CORMIER
Controlled Substance Registration-Osteopathic Physician
License number
02001991B
Date granted
10/22/1998
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
FORT WAYNE MEDICAL EDUCATION PROGRAM, 2434 LAKE AVE, FORT WAYNE IN 46805
indianalicensing.org
ID 5800684
LAST UPDATED 2024-03-04 18:52:45 UTC

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