Indiana
Professional Licensing Agency
Harold M. Manifold
Controlled Substance Registration - Physician
License number
01014804B
Date granted
02/28/1986
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
FIRST HEALTH CARE, 100 NORTH CURRY PIKE, Bloomington IN 47404
indianalicensing.org
ID 5824486
LAST UPDATED 2024-03-09 07:29:36 UTC
LAST UPDATED 2024-03-09 07:29:36 UTC
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