Indiana
Professional Licensing Agency
Jay Russell Miller
Controlled Substance Registration - Physician
License number
01035230B
Date granted
07/03/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
213 JEFFERSON BOULEVARD, GREENFIELD IN 46140
indianalicensing.org
ID 5860378
LAST UPDATED 2024-03-03 22:07:51 UTC
LAST UPDATED 2024-03-03 22:07:51 UTC
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