Indiana
Professional Licensing Agency
Ernest C. Mirich
Controlled Substance Registration - Physician
License number
01018811B
Date granted
02/28/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
8550 Boradway, Ste C, Merrillville IN 46410
indianalicensing.org
ID 5890242
LAST UPDATED 2024-04-12 08:02:19 UTC
LAST UPDATED 2024-04-12 08:02:19 UTC
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