Indiana
Professional Licensing Agency
Khader Manasra
Controlled Substance Registration - Physician
License number
01062706B
Date granted
08/31/2006
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Goshen Pediatrics, 1852 Ashburn Drive, Goshen IN 46526
indianalicensing.org
ID 5858806
LAST UPDATED 2024-02-07 17:43:28 UTC
LAST UPDATED 2024-02-07 17:43:28 UTC
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