Indiana
Professional Licensing Agency
John S. Mancoll
Physician
License number
01051191A
Date granted
08/09/1999
Date expires
06/30/2009
Class
Physician
Status
Expired Non-Renewable
Address
FORT WAYNE IN 46825
indianalicensing.org
ID 6053308
LAST UPDATED 2024-03-24 12:48:54 UTC
LAST UPDATED 2024-03-24 12:48:54 UTC
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