Indiana
Professional Licensing Agency
Alissa Poppiti Manfredi
Controlled Substance Registration - Physician
License number
01061961B
Date granted
03/27/2006
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Promp Med, 1201 Hadley Road, Mooresville IN 46158
indianalicensing.org
ID 5896836
LAST UPDATED 2024-04-14 18:51:34 UTC
LAST UPDATED 2024-04-14 18:51:34 UTC
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