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
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