License holder summary

Alissa Poppiti Manfredi is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Alissa Poppiti Manfredi is Promp Med, 1201 Hadley Road, Mooresville IN 46158. This licensed professional license is not current. The license was granted 03/27/2006 and expired on 06/30/2007.

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

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