License holder summary

Amita Arun Manickam Bagal is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Amita Arun Manickam Bagal is Duneland Clinic, 810 Michael Drive, Suite I, Chesterton IN 46304. This licensed professional license is not current. The license was granted 07/25/2007 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Amita Arun Manickam Bagal
Controlled Substance Registration - Physician
License number
01056913D
Date granted
07/25/2007
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Duneland Clinic, 810 Michael Drive, Suite I, Chesterton IN 46304
indianalicensing.org
ID 5833488
LAST UPDATED 2024-04-16 20:58:46 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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