Thomas Paul Mattingly

Controlled Substance Registration - Physician

Indiana  01026310B   Active

This Indiana license is held by Thomas Paul Mattingly. The license is currently active. It was granted on 05/31/1986 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01026310B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 05/31/1986 (about 40 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

Thomas P. Mattingly MD, 1410 Union Street, Lafayette IN 47904