Indiana
Professional Licensing Agency
Melissa Ann Manzuk
Controlled Substance Registration-Physician Assistant
License number
10001645B
Date granted
04/03/2014
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Healthy 4 Life, 1400 S. lake Road. Avenue Ste 200, Hobart IN 46342
indianalicensing.org
ID 29179794
LAST UPDATED 2024-03-08 15:02:12 UTC
LAST UPDATED 2024-03-08 15:02:12 UTC
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