License holder summary

Mylene G. Mangahas is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mylene G. Mangahas is 521 WEST CHICAGO AVENUE, EAST CHICAGO IN 46312. This licensed professional license is not current. The license was granted 07/29/1996 and expired on 06/30/2009.

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

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