Indiana
Professional Licensing Agency
ANDREW JACKSON MYRICK JR
Controlled Substance Registration - Physician
License number
01034526B
Date granted
07/11/1985
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
400 ASH STREET, WABASH IN 46992
indianalicensing.org
ID 5931674
LAST UPDATED 2024-02-15 18:41:32 UTC
LAST UPDATED 2024-02-15 18:41:32 UTC
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