Indiana
Professional Licensing Agency
Benjamin C. Mannix, Jr.
Controlled Substance Registration - Physician
License number
01031151B
Date granted
06/25/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Ophthalomology, Inc., 1300 State Street, Suite 1-F, La Porte IN 46350
indianalicensing.org
ID 5877657
LAST UPDATED 2024-04-04 14:48:55 UTC
LAST UPDATED 2024-04-04 14:48:55 UTC
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