Indiana
Professional Licensing Agency
Norbert A Matulis
Controlled Substance Registration - Dentist
License number
12007043B
Date granted
05/09/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
9207 Wicker Avenue, Box 397, Saint John IN 46373-9782
indianalicensing.org
ID 5120945
LAST UPDATED 2024-04-21 21:59:37 UTC
LAST UPDATED 2024-04-21 21:59:37 UTC
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