Indiana
Professional Licensing Agency
Michael Joseph Mangino
Controlled Substance Registration - Dentist
License number
12011881B
Date granted
09/17/2012
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Dentistry Plus, 1516 Lynch Lane, Suite A, Clarksville IN 47129
indianalicensing.org
ID 5087105
LAST UPDATED 2024-02-24 12:39:28 UTC
LAST UPDATED 2024-02-24 12:39:28 UTC
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