License holder summary

Johanna Kay Manous is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Johanna Kay Manous is 9250 COLUMBIA AVENUE SUITE 1-A, MUNSTER IN 46321. This licensed professional license is not current. The license was granted 04/02/1990 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

Johanna Kay Manous
Controlled Substance Registration - Dentist
License number
12009079C
Date granted
04/02/1990
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
9250 COLUMBIA AVENUE SUITE 1-A, MUNSTER IN 46321
indianalicensing.org
ID 5114739
LAST UPDATED 2024-04-15 07:35:20 UTC

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