Dean Lloyd Mattox, II

Controlled Substance Registration - Physician

Indiana  01052822B   Active

This Indiana license is held by Dean Lloyd Mattox, II. The license is currently active. It was granted on 08/15/2000 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01052822B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 08/15/2000 (about 26 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

3250 Intertech Drive, Suite A, Angola IN 46703