Matthew Joseph Fraiz
Controlled Substance Registration - Dentist
Indiana 12011331B Expired
This Indiana license was held by Matthew Joseph Fraiz. The license is no longer active. It was granted on 08/12/2009 and expired on 03/01/2012
LICENSE DETAILS
- License Number: 12011331B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 08/12/2009 (almost 16 years ago)
- Expiry Date: 03/01/2012 (over 13 years ago)
LOCATIONS
A Address
3505 N. State Road 15, Suite A, Warsaw IN 46582