Indiana
Professional Licensing Agency
Pekkakuzhiyil Matthew Matthew
Controlled Substance Registration - Physician
License number
01045477B
Date granted
09/06/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
CAYLOR NICKEL CLINIC PC/Jane Thompson, 1 CAYLOR NICKEL SQUARE, BLUFFTON IN 46714
indianalicensing.org
ID 5826823
LAST UPDATED 2024-03-29 13:35:39 UTC
LAST UPDATED 2024-03-29 13:35:39 UTC
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