License holder summary

Andrew Simon Mickler is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Andrew Simon Mickler is 2100 MARKET STREET, Charlestown IN 47111. This licensed professional license is not current. The license was granted 08/10/2000 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Andrew Simon Mickler
Controlled Substance Registration - Physician
License number
01043411B
Date granted
08/10/2000
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2100 MARKET STREET, Charlestown IN 47111
indianalicensing.org
ID 5832839
LAST UPDATED 2024-03-15 09:42:01 UTC

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