Indiana
Professional Licensing Agency
Carol J. Mann
Controlled Substance Registration - Physician
License number
01044166B
Date granted
12/15/1995
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2014 SOUTH MAIN STREET STE A, GOSHEN IN 46526
indianalicensing.org
ID 5858403
LAST UPDATED 2024-05-05 06:20:19 UTC
LAST UPDATED 2024-05-05 06:20:19 UTC
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