Vani Manyam

Controlled Substance Registration - Physician

Indiana  01044408B   Active

This Indiana license is held by Vani Manyam. The license is currently active. It was granted on 12/19/1995 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01044408B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 12/19/1995 (over 30 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

UAP Clinic, LLC, 1711 No. 6 1/2 Street, Terre Haute IN 47804-2770