Indiana
Professional Licensing Agency
Eric Miller
Controlled Substance Registration - Physician
License number
01058734B
Date granted
02/26/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Family Medicine Center, 2120 Rieth Blvd., Goshen IN 46526
indianalicensing.org
ID 5858588
LAST UPDATED 2024-04-06 17:31:30 UTC
LAST UPDATED 2024-04-06 17:31:30 UTC
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