License holder summary

Anil Kumar Reddy Manda is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Anil Kumar Reddy Manda is Aspen Dental, 5020 West Lloyd Expressway, Evansville IN 47712. This licensed professional license is not current. The license was granted 06/17/2008 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

Anil Kumar Reddy Manda
Controlled Substance Registration - Dentist
License number
12011176B
Date granted
06/17/2008
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Aspen Dental, 5020 West Lloyd Expressway, Evansville IN 47712
indianalicensing.org
ID 5091410
LAST UPDATED 2024-04-13 18:57:50 UTC

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