Indiana
Professional Licensing Agency
PSYCHIATRIC SERVICES INC
Medical Licensing Board - Medical Corporation
License number
50000633A
Date granted
01/24/1973
Date expires
12/31/1980
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
RICHARD E MANN MD, 1405 N ANTHONY BLVD, FORT WAYNE IN 46805
indianalicensing.org
ID 24826941
LAST UPDATED 2024-05-01 10:04:59 UTC
LAST UPDATED 2024-05-01 10:04:59 UTC
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