Indiana
Professional Licensing Agency
Louis A. Miceli
Controlled Substance Registration-Osteopathic Physician
License number
02000622B
Date granted
07/16/1986
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
primary care/ pediatrics, 1127 Thicket Lane, Munster IN 46321
indianalicensing.org
ID 5810077
LAST UPDATED 2024-02-07 01:36:06 UTC
LAST UPDATED 2024-02-07 01:36:06 UTC
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