Indiana
Professional Licensing Agency
James R. Manshardt
Controlled Substance Registration - Physician
License number
01057539B
Date granted
04/30/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Grant Blackford Mental Health, 505 N Wabash, Marion IN 46952
indianalicensing.org
ID 5888160
LAST UPDATED 2024-03-14 23:46:46 UTC
LAST UPDATED 2024-03-14 23:46:46 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.