Indiana
Professional Licensing Agency
Luis A. Manrique
Controlled Substance Registration - Physician
License number
01068205B
Date granted
05/10/2010
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Infectious Disease Specialists, P.C., 9143 Indianapolis Blvd., Highland IN 46322
indianalicensing.org
ID 5866563
LAST UPDATED 2024-03-26 23:48:46 UTC
LAST UPDATED 2024-03-26 23:48:46 UTC
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