Indiana
Professional Licensing Agency
LINDA KING MANTHEIY
Controlled Substance Registration - Physician
License number
01035949B
Date granted
06/16/1987
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
THREE RIVERS HEALTH SERVICES, 1 CANAL PLACE, FORT WAYNE IN 46802
indianalicensing.org
ID 5853904
LAST UPDATED 2024-04-13 12:55:42 UTC
LAST UPDATED 2024-04-13 12:55:42 UTC
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