MATHIAS S MOUNT
Controlled Substance Registration - Physician
Indiana 01011250B Expired
This Indiana license was held by MATHIAS S MOUNT. The license is no longer active. It was granted on 02/28/1986 and expired on 06/30/1989
LICENSE DETAILS
- License Number: 01011250B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/28/1986 (over 39 years ago)
- Expiry Date: 06/30/1989 (almost 36 years ago)
LOCATIONS
A Address
148 S LEWIS ST, BLOOMFIELD IN 47424