Heather Sue Mattern
Controlled Substance Registration-Physician Assistant
Indiana 10000719B Expired
This Indiana license was held by Heather Sue Mattern. The license is no longer active. It was granted on 12/07/2007 and expired on 06/30/2010
LICENSE DETAILS
- License Number: 10000719B
- Category: CSR-Physician Assistant
- Status: Expired
- Date Granted: 12/07/2007 (over 16 years ago)
- Expiry Date: 06/30/2010 (almost 14 years ago)
LOCATIONS
A Address
1811 Charlton Court, Goshen IN 46526