Indiana
Professional Licensing Agency
John Stevens Midmore
Controlled Substance Registration - Physician
License number
01040887B
Date granted
12/16/1992
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2106 Sherwood Drive, Valparaiso IN 46385
indianalicensing.org
ID 5928852
LAST UPDATED 2024-03-21 06:18:58 UTC
LAST UPDATED 2024-03-21 06:18:58 UTC
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