Indiana
Professional Licensing Agency
Maneka Kaul
Controlled Substance Registration - Physician
License number
01071679B
Date granted
09/10/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Dyer Family Practice, 840 Richard Road, Dyer IN 46311
indianalicensing.org
ID 5844448
LAST UPDATED 2024-02-18 00:51:09 UTC
LAST UPDATED 2024-02-18 00:51:09 UTC
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