GREGG ROBERT MATTISON
Controlled Substance Registration - Physician
Indiana 01035188B Active
This Indiana license is held by GREGG ROBERT MATTISON. The license is currently active. It was granted on 07/16/1986 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01035188B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/16/1986 (almost 39 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Fort Wayne Radiology Association LLC, 3707 New Vision Dr. P.O. Box 5602, Fort Wayne IN 46895-5602
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