License holder summary

HAROLD WILLIAM MAMMEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for HAROLD WILLIAM MAMMEN is 340 WHITE RIVER PKWY, W DR SO, INDIANAPOLIS IN 46227. This licensed professional license is not current. The license was granted 02/25/1971 and expired on 12/31/1982.

Indiana

Professional Licensing Agency

HAROLD WILLIAM MAMMEN
Controlled Substance Registration - Physician
License number
01023659B
Date granted
02/25/1971
Date expires
12/31/1982
Class
Controlled Substance Registration - Physician
Status
Expired
Address
340 WHITE RIVER PKWY, W DR SO, INDIANAPOLIS IN 46227
indianalicensing.org
ID 5869548
LAST UPDATED 2024-03-09 17:16:22 UTC

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