License holder summary

MANUEL S MESIROW is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MANUEL S MESIROW is 900 I STREET, LAPORTE IN 46350. This licensed professional license is not current. The license was granted 08/31/1985 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

MANUEL S MESIROW
Controlled Substance Registration - Physician
License number
01032636B
Date granted
08/31/1985
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
900 I STREET, LAPORTE IN 46350
indianalicensing.org
ID 5878254
LAST UPDATED 2024-02-20 13:27:39 UTC

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