License holder summary

EDMUNDO V MANZANO is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for EDMUNDO V MANZANO is 9513 DOGWOOD DRIVE, MUNSTER IN 46321. This licensed professional license is current. The license was granted 01/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

EDMUNDO V MANZANO
Controlled Substance Registration - Physician
License number
01023150B
Date granted
01/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9513 DOGWOOD DRIVE, MUNSTER IN 46321
indianalicensing.org
ID 5900171
LAST UPDATED 2024-03-16 00:49:53 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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