Indiana
Professional Licensing Agency
Mark Mandelbaum
Controlled Substance Registration - Physician
License number
01068325B
Date granted
08/02/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Neurology Care Center, 1911 Chester Blvd., Richmond IN 47374
indianalicensing.org
ID 5913733
LAST UPDATED 2024-04-16 22:40:41 UTC
LAST UPDATED 2024-04-16 22:40:41 UTC
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