License holder summary

Philip Matthew Spence is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Philip Matthew Spence is 1650 45th Avenue, Ste 2C, Munster IN 46321. This licensed professional license is not current. The license was granted 03/25/2010 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Philip Matthew Spence
Controlled Substance Registration-Osteopathic Physician
License number
02003649B
Date granted
03/25/2010
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
1650 45th Avenue, Ste 2C, Munster IN 46321
indianalicensing.org
ID 5810174
LAST UPDATED 2024-02-24 20:29:24 UTC

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