Andrea Manzo
Controlled Substance Registration - Physician
Indiana 01057322B Expired
This Indiana license was held by Andrea Manzo. The license is no longer active. It was granted on 03/03/2003 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01057322B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/03/2003 (about 21 years ago)
- Expiry Date: 06/30/2005 (almost 19 years ago)
LOCATIONS
A Address
Goshen Hospital, 200 High Park Avenue, Goshen IN 46526