Indiana
Professional Licensing Agency
Gary L Miller
Controlled Substance Registration - Physician
License number
01022812B
Date granted
01/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6 Forest Dr, Logansport IN 46947
indianalicensing.org
ID 5885030
LAST UPDATED 2024-03-28 17:20:27 UTC
LAST UPDATED 2024-03-28 17:20:27 UTC
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