Indiana
Professional Licensing Agency
Camiel Cyriel Mahank
Controlled Substance Registration - Physician
License number
01016229B
Date granted
01/10/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
303 S MAIN STREET, MISHAWAKA IN 46544
indianalicensing.org
ID 5894693
LAST UPDATED 2024-04-16 05:15:09 UTC
LAST UPDATED 2024-04-16 05:15:09 UTC
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