License holder summary

Adela Miranda Perez is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Adela Miranda Perez is 110 Ridge Road, Suite 10, Munster IN 46321. This licensed professional license is current. The license was granted 05/31/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Adela Miranda Perez
Controlled Substance Registration - Physician
License number
01026158B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
110 Ridge Road, Suite 10, Munster IN 46321
indianalicensing.org
ID 5899730
LAST UPDATED 2024-03-07 05:24:45 UTC

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