THOMAS MARTIN MANNING

Controlled Substance Registration - Physician

Indiana  01030881B   Expired

This Indiana license was held by THOMAS MARTIN MANNING. The license is no longer active. It was granted on 07/01/1981 and expired on 07/31/1984

LICENSE DETAILS

  • License Number: 01030881B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 07/01/1981 (almost 43 years ago)
  • Expiry Date: 07/31/1984 (almost 40 years ago)

LOCATIONS

A Address

811 EAST MADISON AVENUE, SOUTH BEND IN 46617