License holder summary

Robert Mandal is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Robert Mandal is Memorial Hospital, 800 W 9th Street, Jasper IN 47546. This licensed professional license is current. The license was granted 09/29/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Robert Mandal
Controlled Substance Registration - Physician
License number
01065643B
Date granted
09/29/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Memorial Hospital, 800 W 9th Street, Jasper IN 47546
indianalicensing.org
ID 5872042
LAST UPDATED 2024-03-20 13:13:11 UTC

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