Indiana
Professional Licensing Agency
Jeffrey Lee Milleman
Controlled Substance Registration - Dentist
License number
12008121B
Date granted
07/31/1986
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1220 Medical Park Drive, Fort Wayne IN 46825
indianalicensing.org
ID 5095054
LAST UPDATED 2024-03-15 14:04:15 UTC
LAST UPDATED 2024-03-15 14:04:15 UTC
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