Amita Arun Manickam Bagal
Physician
Indiana 01056913A Expired
This Indiana license was held by Amita Arun Manickam Bagal. The license is no longer active. It was granted on 10/10/2002 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01056913A
- Category: Physician
- Status: Expired
- Date Granted: 10/10/2002 (almost 24 years ago)
- Expiry Date: 10/31/2013 (almost 13 years ago)
LOCATIONS
A Address
Portage IN 46368