Indiana
Professional Licensing Agency
Christopher Joseph Mianecki
Controlled Substance Registration-Osteopathic Physician
License number
02003830B
Date granted
05/02/2011
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
The South Bend Clinic, 211 North Eddy Street, South Bend IN 46617
indianalicensing.org
ID 5813236
LAST UPDATED 2024-04-13 06:55:16 UTC
LAST UPDATED 2024-04-13 06:55:16 UTC
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