Amita Arun Manickam Bagal
Controlled Substance Registration - Physician
Indiana 01056913D Expired
This Indiana license was held by Amita Arun Manickam Bagal. The license is no longer active. It was granted on 07/25/2007 and expired on 06/30/2009
LICENSE DETAILS
- License Number: 01056913D
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/25/2007 (about 19 years ago)
- Expiry Date: 06/30/2009 (about 17 years ago)
LOCATIONS
A Address
Duneland Clinic, 810 Michael Drive, Suite I, Chesterton IN 46304