License holder summary

Thaddeus J. Manczko is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Thaddeus J. Manczko is St. Mary Medical Center, 1500 S. Lake Park Avenue, Hobart IN 46342. This licensed professional license is not current. The license was granted 12/15/2009 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Thaddeus J. Manczko
Controlled Substance Registration - Physician
License number
01067606B
Date granted
12/15/2009
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Mary Medical Center, 1500 S. Lake Park Avenue, Hobart IN 46342
indianalicensing.org
ID 5867802
LAST UPDATED 2026-03-11 02:59:08 UTC

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