License holder summary

Natasha Mandula is a Controlled Substance Registration - Podiatrist licensed to practice in Indiana. The address on file for Natasha Mandula is Great Lakes Orthopedics & Sports Medicine, 9615 Keilman Street, Saint John IN 46373. This licensed professional license is current. The license was granted 07/02/2014 and expired on 06/30/2015.

Indiana

Professional Licensing Agency

Natasha Mandula
Controlled Substance Registration - Podiatrist
License number
07001187B
Date granted
07/02/2014
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
Great Lakes Orthopedics & Sports Medicine, 9615 Keilman Street, Saint John IN 46373
indianalicensing.org
ID 29197297
LAST UPDATED 2024-02-15 01:21:33 UTC

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