Indiana
Professional Licensing Agency
Matthew R. Walton
Controlled Substance Registration - Dentist
License number
12011032B
Date granted
07/11/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
488 South State Road 135, Greenwood IN 46142
indianalicensing.org
ID 5099321
LAST UPDATED 2024-04-14 11:13:13 UTC
LAST UPDATED 2024-04-14 11:13:13 UTC
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