Indiana
Professional Licensing Agency
BOSE SUBOSECHANDRA MANYAM
Controlled Substance Registration - Physician
License number
01043901B
Date granted
06/29/1995
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
WELBORN CLINIC, 421 CHESTNUT STREET, EVANSVILLE IN 47713
indianalicensing.org
ID 5849322
LAST UPDATED 2024-03-25 05:39:16 UTC
LAST UPDATED 2024-03-25 05:39:16 UTC
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