Indiana
Professional Licensing Agency
Mikael Denise Howard
Controlled Substance Registration - Physician
License number
01074276B
Date granted
08/18/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
South Bend Clinic - Granger Campus, 52500 Fir Road, Granger IN 46530
indianalicensing.org
ID 27707328
LAST UPDATED 2024-02-25 08:31:16 UTC
LAST UPDATED 2024-02-25 08:31:16 UTC
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