Indiana
Professional Licensing Agency
Ralph A. Matacale
Controlled Substance Registration - Dentist
License number
12009711B
Date granted
09/06/1994
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
6602 Little Schaefer Road, Evansville IN 47720-8191
indianalicensing.org
ID 5092617
LAST UPDATED 2024-03-27 15:34:42 UTC
LAST UPDATED 2024-03-27 15:34:42 UTC
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