Troy Matthew Mannino
Controlled Substance Registration - Dentist
Indiana 12011729B Active
This Indiana license is held by Troy Matthew Mannino. The license is currently active. It was granted on 10/04/2011 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12011729B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 10/04/2011 (over 13 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
NorthShore Health Centers, 3099 Central Avenue, Lake Station IN 46405
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