License holder summary

Sharon Mangum is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Sharon Mangum is Home Physicians c/o Tatum Family Health Ctr., 1619 W 5th Avenue, Gary IN 46404. This licensed professional license is current. The license was granted 05/19/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Sharon Mangum
Controlled Substance Registration - Physician
License number
01066552B
Date granted
05/19/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Home Physicians c/o Tatum Family Health Ctr., 1619 W 5th Avenue, Gary IN 46404
indianalicensing.org
ID 5857507
LAST UPDATED 2024-03-29 19:10:30 UTC

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