Indiana
Professional Licensing Agency
Myrna Mangcucang Factora
Controlled Substance Registration - Physician
License number
01031770B
Date granted
04/26/1993
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
COMMUNITY BLOOD CENTER, 4821 OLD NATIONAL RD EAST, RICHMOND IN 47374
indianalicensing.org
ID 5913895
LAST UPDATED 2024-05-07 11:41:30 UTC
LAST UPDATED 2024-05-07 11:41:30 UTC
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