License holder summary

Manolo Martinez Manalo is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Manolo Martinez Manalo is Lutheran Medical Group, 2516 E. Dupont Rd, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 06/24/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Manolo Martinez Manalo
Controlled Substance Registration - Physician
License number
01041487B
Date granted
06/24/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Lutheran Medical Group, 2516 E. Dupont Rd, Fort Wayne IN 46825
indianalicensing.org
ID 5853927
LAST UPDATED 2024-03-07 09:23:01 UTC

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