License holder summary

Anita Sue Davenport Miller is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Anita Sue Davenport Miller is Wabash County Hospital, 710 N East Street, Wabash IN 46992. This licensed professional license is current. The license was granted 04/29/2013 and expired on 10/31/2015.

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

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