Indiana
Professional Licensing Agency
JOHN E MIKLOZEK
Controlled Substance Registration - Physician
License number
01013824B
Date granted
08/28/1941
Date expires
02/28/1983
Class
Controlled Substance Registration - Physician
Status
Expired
Address
660 IDAHO, TERRE HAUTE IN 47802
indianalicensing.org
ID 5925621
LAST UPDATED 2024-02-26 14:06:36 UTC
LAST UPDATED 2024-02-26 14:06:36 UTC
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