Indiana
Professional Licensing Agency
Joseph Manuel Civantos
Physician
License number
01041269A
Date granted
04/29/1993
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Munster IN 46321-4057
indianalicensing.org
ID 6084033
LAST UPDATED 2026-04-09 23:37:56 UTC
LAST UPDATED 2026-04-09 23:37:56 UTC
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