License holder summary

Thomas Michael Mattice is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thomas Michael Mattice is GOSHEN GENERAL HOSPITAL, 200 WEST HIGHPARK AVENUE, Goshen IN 46526. This licensed professional license is not current. The license was granted 07/18/1988 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Thomas Michael Mattice
Controlled Substance Registration - Physician
License number
01036890B
Date granted
07/18/1988
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
GOSHEN GENERAL HOSPITAL, 200 WEST HIGHPARK AVENUE, Goshen IN 46526
indianalicensing.org
ID 5859229
LAST UPDATED 2024-02-28 06:08:16 UTC

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