License holder summary

Daniel Jacob Millikan is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Daniel Jacob Millikan is 1121 West 2nd Street, Bloomington IN 47403-2160. This licensed professional license is current. The license was granted 06/17/2004 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Daniel Jacob Millikan
Controlled Substance Registration - Dentist
License number
12010633B
Date granted
06/17/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1121 West 2nd Street, Bloomington IN 47403-2160
indianalicensing.org
ID 5082868
LAST UPDATED 2024-02-05 02:53:19 UTC

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