Ganapathy Prasad Manjunath
Controlled Substance Registration - Dentist
Indiana 12012186B Active
This Indiana license is held by Ganapathy Prasad Manjunath. The license is currently active. It was granted on 06/19/2014 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12012186B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 06/19/2014 (almost 10 years ago)
- Expiry Date: 03/01/2016 (over 8 years ago)
LOCATIONS
A Address
Familia Dental, 5328 Cold Water Road, Fort Wayne IN 46825
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