Indiana
Professional Licensing Agency
Paul Christiaan Mattox
Controlled Substance Registration-Physician Assistant
License number
10000648C
Date granted
09/09/2011
Date expires
06/30/2014
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Greenwood Pain Management, 223 South State Road 135, Greenwood IN 46142
indianalicensing.org
ID 8386879
LAST UPDATED 2024-02-09 04:19:04 UTC
LAST UPDATED 2024-02-09 04:19:04 UTC
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