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
LAST UPDATED 2024-03-17 23:31:10 UTC
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