Indiana
Professional Licensing Agency
Emmanuel Thierry Mentor
Controlled Substance Registration - Physician
License number
01073933B
Date granted
05/07/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Porter Health Care Center, 85 East Hwy 6, Valparaiso IN 46383
indianalicensing.org
ID 27721437
LAST UPDATED 2025-01-13 01:35:08 UTC
LAST UPDATED 2025-01-13 01:35:08 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.