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
LAST UPDATED 2024-03-20 13:13:11 UTC
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