Manogna Katakam
Controlled Substance Registration - Dentist
Indiana 12012051B Active
This Indiana license is held by Manogna Katakam. The license is currently active. It was granted on 10/07/2013 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12012051B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 10/07/2013 (over 11 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
Community Health Center Dental Clinic, 400 Teegarden Street, La Porte IN 46350
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