Indiana
Professional Licensing Agency
Freeman Miller
Controlled Substance Registration - Physician
License number
01033382B
Date granted
06/30/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
101 MARILYN AVENUE, GOSHEN IN 46526
indianalicensing.org
ID 5858660
LAST UPDATED 2024-04-12 09:38:25 UTC
LAST UPDATED 2024-04-12 09:38:25 UTC
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