License holder summary

KENNETH DEVON MILLER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KENNETH DEVON MILLER is 4321 COLLEGE ST P O BOX 128, WOODBURN IN 46797. This licensed professional license is not current. The license was granted 02/28/1983 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

KENNETH DEVON MILLER
Controlled Substance Registration - Physician
License number
01018370B
Date granted
02/28/1983
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4321 COLLEGE ST P O BOX 128, WOODBURN IN 46797
indianalicensing.org
ID 5936347
LAST UPDATED 2024-04-12 04:56:32 UTC

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