License holder summary

Mycal Leigh Mansfield is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mycal Leigh Mansfield is Parkview Physicians Group - Family Medicine, 104 Nicholas Place, Avilla IN 46710. This licensed professional license is current. The license was granted 07/27/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Mycal Leigh Mansfield
Controlled Substance Registration - Physician
License number
01067081B
Date granted
07/27/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Parkview Physicians Group - Family Medicine, 104 Nicholas Place, Avilla IN 46710
indianalicensing.org
ID 5819868
LAST UPDATED 2024-02-23 06:38:07 UTC

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