License holder summary

Lora Mary Mangus is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Lora Mary Mangus is Indiana Health Center at Kokomo, 3118 S. LaFountain Street, Kokomo IN 46902. This licensed professional license is not current. The license was granted 03/16/2000 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Lora Mary Mangus
Controlled Substance Registration - Physician
License number
01048751B
Date granted
03/16/2000
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Indiana Health Center at Kokomo, 3118 S. LaFountain Street, Kokomo IN 46902
indianalicensing.org
ID 5876561
LAST UPDATED 2024-03-17 23:31:10 UTC

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