Indiana
Professional Licensing Agency
Vani Manyam
Controlled Substance Registration - Physician
License number
01044408B
Date granted
12/19/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
UAP Clinic, LLC, 1711 No. 6 1/2 Street, Terre Haute IN 47804-2770
indianalicensing.org
ID 5926925
LAST UPDATED 2024-02-13 11:26:04 UTC
LAST UPDATED 2024-02-13 11:26:04 UTC
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