License holder summary

Myrna Mangcucang Factora is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Myrna Mangcucang Factora is COMMUNITY BLOOD CENTER, 4821 OLD NATIONAL RD EAST, RICHMOND IN 47374. This licensed professional license is not current. The license was granted 04/26/1993 and expired on 06/30/1995.

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 2026-05-28 10:02:12 UTC

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