Indiana
Professional Licensing Agency
Haytham Mansour
Controlled Substance Registration - Podiatrist
License number
07001118B
Date granted
03/02/2011
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
UAP: Bone and Joint Center, 1725 N. Fifth Street, Terre Haute IN 47804
indianalicensing.org
ID 8443190
LAST UPDATED 2024-04-03 04:24:42 UTC
LAST UPDATED 2024-04-03 04:24:42 UTC
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