Matthew David Haller

Controlled Substance Registration - Dentist

Indiana  12008792B   Active

This Indiana license is held by Matthew David Haller. The license is currently active. It was granted on 08/08/1986 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12008792B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 08/08/1986 (almost 39 years ago)
  • Expiry Date: 03/01/2016 (over 9 years ago)

LOCATIONS

A Address

1220 Mdeical Park Drive, Building 2, Fort Wayne IN 46825