License holder summary

Linda Ann Mansfield is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Linda Ann Mansfield is Memorial Sports Medicine Institute, 111 W. Jefferson Blvd. Ste 100, South Bend IN 46601. This licensed professional license is current. The license was granted 03/09/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Linda Ann Mansfield
Controlled Substance Registration - Physician
License number
01069249B
Date granted
03/09/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Memorial Sports Medicine Institute, 111 W. Jefferson Blvd. Ste 100, South Bend IN 46601
indianalicensing.org
ID 5921550
LAST UPDATED 2024-04-15 20:11:28 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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