MATTHEW LOUIS BLACK
Controlled Substance Registration - Physician
Indiana 01043262B Expired
This Indiana license was held by MATTHEW LOUIS BLACK. The license is no longer active. It was granted on 12/27/1995 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01043262B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/27/1995 (over 28 years ago)
- Expiry Date: 06/30/2003 (almost 21 years ago)
LOCATIONS
A Address
Arnett Clinic, 2600 Ferry Street, Lafayette IN 47904