Indiana
Professional Licensing Agency
REGAN MARY ANDRADE
Controlled Substance Registration - Physician
License number
01054579B
Date granted
07/23/2001
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MANCHESTER FAMILY PHYSICIANS, 1104 NORTH WAYNE STREET, North Manchester IN 46962
indianalicensing.org
ID 5907603
LAST UPDATED 2024-03-15 10:33:45 UTC
LAST UPDATED 2024-03-15 10:33:45 UTC
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