Indiana
Professional Licensing Agency
Mylene G. Mangahas
Controlled Substance Registration - Physician
License number
01045012B
Date granted
07/29/1996
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
521 WEST CHICAGO AVENUE, EAST CHICAGO IN 46312
indianalicensing.org
ID 5845738
LAST UPDATED 2024-03-15 08:04:20 UTC
LAST UPDATED 2024-03-15 08:04:20 UTC
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