Indiana
Professional Licensing Agency
Thomas Paul Mattingly
Controlled Substance Registration - Physician
License number
01026310B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Thomas P. Mattingly MD, 1410 Union Street, Lafayette IN 47904
indianalicensing.org
ID 5880827
LAST UPDATED 2024-04-25 08:39:40 UTC
LAST UPDATED 2024-04-25 08:39:40 UTC
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