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
LAST UPDATED 2024-04-15 07:32:40 UTC
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