Indiana
Professional Licensing Agency
Manana Gegeshidze
Controlled Substance Registration - Physician
License number
01060810B
Date granted
07/06/2005
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Active
Address
1225 E Coolspring Avenue, Michigan City IN 46360
indianalicensing.org
ID 5893076
LAST UPDATED 2026-06-14 23:57:31 UTC
LAST UPDATED 2026-06-14 23:57:31 UTC
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