Katrina Andrea Mattingly

Controlled Substance Registration - Physician

Indiana  01069823B   Active

This Indiana license is held by Katrina Andrea Mattingly. The license is currently active. It was granted on 06/22/2011 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01069823B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 06/22/2011 (almost 13 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

St. Catherine Hospital, 4321 Fir Street, East Chicago IN 46312