Indiana
Professional Licensing Agency
Matthew Steven Carmien
Controlled Substance Registration - Dentist
License number
12011942B
Date granted
05/21/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Aspen Dental, 720 East Coliseum Boulevard, Fort Wayne IN 46805
indianalicensing.org
ID 5095393
LAST UPDATED 2024-03-28 15:42:47 UTC
LAST UPDATED 2024-03-28 15:42:47 UTC
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