License holder summary

Tara A Mattingly is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Tara A Mattingly is Aspen Dental, 508 North Green River Road, Evansville IN 47715. This licensed professional license is not current. The license was granted 10/28/2010 and expired on 03/01/2012.

Indiana

Professional Licensing Agency

Tara A Mattingly
Controlled Substance Registration - Dentist
License number
12011552B
Date granted
10/28/2010
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Aspen Dental, 508 North Green River Road, Evansville IN 47715
indianalicensing.org
ID 5092963
LAST UPDATED 2024-04-15 07:32:40 UTC

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