License holder summary

Troy Matthew Mannino is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Troy Matthew Mannino is NorthShore Health Centers, 3099 Central Avenue, Lake Station IN 46405. This licensed professional license is current. The license was granted 10/04/2011 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Troy Matthew Mannino
Controlled Substance Registration - Dentist
License number
12011729B
Date granted
10/04/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
NorthShore Health Centers, 3099 Central Avenue, Lake Station IN 46405
indianalicensing.org
ID 5108119
LAST UPDATED 2024-02-06 07:32:28 UTC

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