License holder summary

Raymond Matthew Maddox is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Raymond Matthew Maddox is Aspen Dental, 3101 South Western Avenue, Marion IN 46953. This licensed professional license is current. The license was granted 01/07/2011 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Raymond Matthew Maddox
Controlled Substance Registration - Dentist
License number
12011570B
Date granted
01/07/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Aspen Dental, 3101 South Western Avenue, Marion IN 46953
indianalicensing.org
ID 5110226
LAST UPDATED 2024-01-25 17:27:23 UTC

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