Indiana
Professional Licensing Agency
Andrew Jay Mandery
Controlled Substance Registration - Physician
License number
01045232B
Date granted
06/27/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1948 West Boulevard, Kokomo IN 46902
indianalicensing.org
ID 5875566
LAST UPDATED 2024-04-18 09:28:15 UTC
LAST UPDATED 2024-04-18 09:28:15 UTC
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