Indiana
Professional Licensing Agency
Berry Lee Miller
Controlled Substance Registration - Physician
License number
01033589B
Date granted
09/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
306 East Maumee, Suite 3, Angola IN 46703
indianalicensing.org
ID 5818490
LAST UPDATED 2024-04-21 21:41:44 UTC
LAST UPDATED 2024-04-21 21:41:44 UTC
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