Indiana
Professional Licensing Agency
Mangala Hasanadka
Controlled Substance Registration - Physician
License number
01051023B
Date granted
05/31/2000
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8983 Shellburne Way, Zionsville IN 46077-8529
indianalicensing.org
ID 5937008
LAST UPDATED 2024-03-02 09:08:05 UTC
LAST UPDATED 2024-03-02 09:08:05 UTC
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