License holder summary

AUSTACIO F MANZANARES is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for AUSTACIO F MANZANARES is 2920 OHIO BLVD, TERRE HAUTE IN 47803. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

AUSTACIO F MANZANARES
Controlled Substance Registration - Physician
License number
01024181B
Date granted
02/28/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2920 OHIO BLVD, TERRE HAUTE IN 47803
indianalicensing.org
ID 5924695
LAST UPDATED 2024-02-14 04:38:40 UTC

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