Indiana
Professional Licensing Agency
Franklin Miller Booth
Controlled Substance Registration - Physician
License number
01017565B
Date granted
04/30/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
16969 Hidden Valley Drive, Granger IN 46530
indianalicensing.org
ID 5859487
LAST UPDATED 2024-03-27 06:40:57 UTC
LAST UPDATED 2024-03-27 06:40:57 UTC
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