Indiana
Professional Licensing Agency
MANI N R SURY
Controlled Substance Registration - Physician
License number
01041860B
Date granted
09/24/1993
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
INDIANA REGIONAL MEDICAL CONSULTANTS P C, 7900 W JEFFERSON BLVD STE 201, FORT WAYNE IN 46804
indianalicensing.org
ID 5853923
LAST UPDATED 2024-04-28 01:47:30 UTC
LAST UPDATED 2024-04-28 01:47:30 UTC
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