License holder summary

GREGORY MARK MIELKE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GREGORY MARK MIELKE is Fairhaven OBGYN, 1111 Lighthouse Lane, Goshen IN 46526. This licensed professional license is current. The license was granted 12/10/1985 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

GREGORY MARK MIELKE
Controlled Substance Registration - Physician
License number
01034860B
Date granted
12/10/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Fairhaven OBGYN, 1111 Lighthouse Lane, Goshen IN 46526
indianalicensing.org
ID 5858654
LAST UPDATED 2024-02-15 18:05:59 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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