Indiana
Professional Licensing Agency
JOVENCIO P MANGAHAS
Controlled Substance Registration - Physician
License number
01023357B
Date granted
02/28/1986
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1637 MUIRFIELD DRIVE, DYER IN 46311
indianalicensing.org
ID 5844378
LAST UPDATED 2024-03-29 05:46:38 UTC
LAST UPDATED 2024-03-29 05:46:38 UTC
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