License holder summary

Andrea Manzo is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Andrea Manzo is Goshen Hospital, 200 High Park Avenue, Goshen IN 46526. This licensed professional license is not current. The license was granted 03/03/2003 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Andrea Manzo
Controlled Substance Registration - Physician
License number
01057322B
Date granted
03/03/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Goshen Hospital, 200 High Park Avenue, Goshen IN 46526
indianalicensing.org
ID 5858253
LAST UPDATED 2024-03-19 08:29:56 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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