Indiana
Professional Licensing Agency
Saurabh Mannan
Controlled Substance Registration - Dentist
License number
12011776B
Date granted
04/23/2012
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2909 County Home Road Suite 1, Goshen IN 46526
indianalicensing.org
ID 5098125
LAST UPDATED 2024-03-29 13:50:05 UTC
LAST UPDATED 2024-03-29 13:50:05 UTC
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