Indiana
Professional Licensing Agency
Franklin Miller Booth
Controlled Substance Registration - Physician
License number
01017565B
Date granted
04/30/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
16969 Hidden Valley Drive, Granger IN 46530
indianalicensing.org
ID 5859487
LAST UPDATED 2024-03-05 22:11:14 UTC
LAST UPDATED 2024-03-05 22:11:14 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.