Indiana
Professional Licensing Agency
JACK MILLER FOX
Controlled Substance Registration - Physician
License number
01016739B
Date granted
10/31/1985
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
7550 HOHMAN, MUNSTER IN 46321
indianalicensing.org
ID 5900460
LAST UPDATED 2024-03-06 19:12:31 UTC
LAST UPDATED 2024-03-06 19:12:31 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.