Myrna Mangcucang Factora
Controlled Substance Registration - Physician
Indiana 01031770B Expired
This Indiana license was held by Myrna Mangcucang Factora. The license is no longer active. It was granted on 04/26/1993 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01031770B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/26/1993 (about 32 years ago)
- Expiry Date: 06/30/1995 (almost 30 years ago)
LOCATIONS
A Address
COMMUNITY BLOOD CENTER, 4821 OLD NATIONAL RD EAST, RICHMOND IN 47374