License holder summary

Conrado R. Miranda, III is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Conrado R. Miranda, III is INTERNISTS & SURGEONS, PO BOX 278-E JACKSON STREET, FARMLAND IN 47340. This licensed professional license is not current. The license was granted 12/29/1987 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

Conrado R. Miranda, III
Controlled Substance Registration - Physician
License number
01021673C
Date granted
12/29/1987
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
INTERNISTS & SURGEONS, PO BOX 278-E JACKSON STREET, FARMLAND IN 47340
indianalicensing.org
ID 5851553
LAST UPDATED 2024-02-17 16:09:56 UTC

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