Matthew Alan Hostetler

Controlled Substance Registration - Dentist

Indiana  12011314B   Expired

This Indiana license was held by Matthew Alan Hostetler. The license is no longer active. It was granted on 09/11/2009 and expired on 03/01/2012

LICENSE DETAILS

  • License Number: 12011314B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 09/11/2009 (almost 16 years ago)
  • Expiry Date: 03/01/2012 (over 13 years ago)

LOCATIONS

A Address

5108 North Clinton Street, Fort Wayne IN 46825