Matthew C. Moll

Controlled Substance Registration - Dentist

Indiana  12010101B   Active

This Indiana license is held by Matthew C. Moll. The license is currently active. It was granted on 04/12/1999 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12010101B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 04/12/1999 (about 26 years ago)
  • Expiry Date: 03/01/2016 (over 9 years ago)

LOCATIONS

A Address

125 North Shortridge Road, Indianapolis IN 46219-4908