Krisi Ann Mandara
Controlled Substance Registration-Osteopathic Physician
Indiana 02003717B Expired
This Indiana license was held by Krisi Ann Mandara. The license is no longer active. It was granted on 07/07/2010 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 02003717B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 07/07/2010 (almost 16 years ago)
- Expiry Date: 06/30/2011 (almost 15 years ago)
LOCATIONS
A Address
IUPUI, 1030 W Michaigan Street Room C 5226, Indianapolis IN 46202