License holder summary

Dennis Dale Mansfield is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Dennis Dale Mansfield is Kosciusko Community Hospital, 2101 E. Dubois Drive, Warsaw IN 48650, Pinconning. This licensed professional license is current. The license was granted 09/10/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Dennis Dale Mansfield
Controlled Substance Registration - Physician
License number
01035447B
Date granted
09/10/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Kosciusko Community Hospital, 2101 E. Dubois Drive, Warsaw IN 48650
indianalicensing.org
ID 5932490
LAST UPDATED 2024-03-30 21:50:04 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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