Matthew John Martin

Controlled Substance Registration - Dentist

Indiana  12010059B   Active

This Indiana license is held by Matthew John Martin. The license is currently active. It was granted on 08/11/1998 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12010059B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 08/11/1998 (about 28 years ago)
  • Expiry Date: 03/01/2016 (over 10 years ago)

LOCATIONS

A Address

1927 Broad Ripple Avenue, Indianapolis IN 46220