Carol J. Mann
Controlled Substance Registration - Physician
Indiana 01044166B Expired
This Indiana license was held by Carol J. Mann. The license is no longer active. It was granted on 12/15/1995 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01044166B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/15/1995 (over 30 years ago)
- Expiry Date: 06/30/2001 (about 25 years ago)
LOCATIONS
A Address
2014 SOUTH MAIN STREET STE A, GOSHEN IN 46526