Indiana
Professional Licensing Agency
MANISH GUPTA KUMAR
Controlled Substance Registration - Physician
License number
01046295B
Date granted
02/27/1997
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
400 POPLAR STREET, Terre Haute IN 47807
indianalicensing.org
ID 5925926
LAST UPDATED 2024-03-10 09:38:17 UTC
LAST UPDATED 2024-03-10 09:38:17 UTC
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