Indiana
Professional Licensing Agency
Anita Sue Davenport Miller
Controlled Substance Registration - Physician
License number
01072334B
Date granted
04/29/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Wabash County Hospital, 710 N East Street, Wabash IN 46992
indianalicensing.org
ID 5931681
LAST UPDATED 2024-02-11 20:41:01 UTC
LAST UPDATED 2024-02-11 20:41:01 UTC
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