License holder summary

Debra Mannia is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Debra Mannia is Indiana University Dental Hygiene Clinic, Attn: Nancy Yokum, 1700 Mishawaka Ave., Riverside Hall, South Bend IN 46634-7111. This licensed professional license is current. The license was granted 01/10/2005 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Debra Mannia
Controlled Substance Registration - Dentist
License number
12007884B
Date granted
01/10/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Indiana University Dental Hygiene Clinic, Attn: Nancy Yokum, 1700 Mishawaka Ave., Riverside Hall, South Bend IN 46634-7111
indianalicensing.org
ID 5122868
LAST UPDATED 2024-02-08 08:59:45 UTC

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