License holder summary

Jack Matthew Miller is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jack Matthew Miller is Indy Dental Group LLC, 12720 Meeting House Road, Carmel IN 46032-7334. This licensed professional license is current. The license was granted 07/23/2002 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jack Matthew Miller
Controlled Substance Registration - Dentist
License number
12009482C
Date granted
07/23/2002
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Indy Dental Group LLC, 12720 Meeting House Road, Carmel IN 46032-7334
indianalicensing.org
ID 5085503
LAST UPDATED 2024-03-21 17:29:11 UTC

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