MATTHEW PHILIP CORMIER
Controlled Substance Registration-Osteopathic Physician
Indiana 02001991B Expired
This Indiana license was held by MATTHEW PHILIP CORMIER. The license is no longer active. It was granted on 10/22/1998 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 02001991B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 10/22/1998 (over 26 years ago)
- Expiry Date: 06/30/2001 (almost 24 years ago)
LOCATIONS
A Address
FORT WAYNE MEDICAL EDUCATION PROGRAM, 2434 LAKE AVE, FORT WAYNE IN 46805