Indiana
Professional Licensing Agency
Tillman E. Miller
Controlled Substance Registration - Dentist
License number
12007885B
Date granted
07/31/1986
Date expires
03/01/1992
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
236 SIMPSON AVENUE, ELKHART IN 46516
indianalicensing.org
ID 5091004
LAST UPDATED 2024-02-14 20:56:40 UTC
LAST UPDATED 2024-02-14 20:56:40 UTC
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