Matthew Lee Runyan
Controlled Substance Registration - Physician
Indiana 01071590B Active
This Indiana license is held by Matthew Lee Runyan. The license is currently active. It was granted on 08/24/2012 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01071590B
- Category: CSR-Physician
- Status: Active
- Date Granted: 08/24/2012 (almost 13 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
1111 W. 10th Street, PB A212, Brownsburg IN 46112
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