Indiana
Professional Licensing Agency
Shane N. Manning
Controlled Substance Registration - Podiatrist
License number
07001087B
Date granted
08/04/2009
Date expires
06/30/2011
Class
Controlled Substance Registration - Podiatrist
Status
Expired
Address
Orthopedics Northeast, PC, 5050 N. Clinton Street, Fort Wayne IN 46825
indianalicensing.org
ID 8430467
LAST UPDATED 2024-05-14 02:16:47 UTC
LAST UPDATED 2024-05-14 02:16:47 UTC
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