Indiana
Professional Licensing Agency
Sara Michele Mangiardi
Controlled Substance Registration - Physician
License number
01066228B
Date granted
02/02/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Porter Valparaiso Hospital Campus, 3630 Willowcreek Road, Valparaiso IN 46383
indianalicensing.org
ID 5929763
LAST UPDATED 2024-03-13 04:50:43 UTC
LAST UPDATED 2024-03-13 04:50:43 UTC
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