License holder summary

Ganapathy Prasad Manjunath is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Ganapathy Prasad Manjunath is Familia Dental, 5328 Cold Water Road, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 06/19/2014 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Ganapathy Prasad Manjunath
Controlled Substance Registration - Dentist
License number
12012186B
Date granted
06/19/2014
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Familia Dental, 5328 Cold Water Road, Fort Wayne IN 46825
indianalicensing.org
ID 27545578
LAST UPDATED 2024-03-10 04:14:46 UTC

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