Indiana
Professional Licensing Agency
JACK WAYNE MILLER
Controlled Substance Registration - Physician
License number
01041752B
Date granted
07/29/1993
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PEDIATRIC ADVOCATES DR NEIL STALKER, 285 W 12TH ST, PERU IN 46970
indianalicensing.org
ID 5909480
LAST UPDATED 2024-05-03 23:38:31 UTC
LAST UPDATED 2024-05-03 23:38:31 UTC
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