Indiana
Professional Licensing Agency
Jacob Thomas Miller, Jr
Controlled Substance Registration - Physician
License number
01024550B
Date granted
02/28/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2725 NORTH WEST STATE ROAD 116, Markle IN 46770-9722
indianalicensing.org
ID 5889004
LAST UPDATED 2024-04-05 08:31:30 UTC
LAST UPDATED 2024-04-05 08:31:30 UTC
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