Indiana
Professional Licensing Agency
Robert S. Mattingly
Controlled Substance Registration - Dentist
License number
12009914B
Date granted
05/29/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
127 South Capitol Avenue, PO Box 387, Corydon IN 47112
indianalicensing.org
ID 5088442
LAST UPDATED 2024-02-20 05:59:47 UTC
LAST UPDATED 2024-02-20 05:59:47 UTC
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