Indiana
Professional Licensing Agency
Lovera Wolf Miller
Controlled Substance Registration - Physician
License number
01035794B
Date granted
04/10/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
601 W Kieffer Road, Michigan City IN 46360
indianalicensing.org
ID 5893022
LAST UPDATED 2024-05-08 10:16:42 UTC
LAST UPDATED 2024-05-08 10:16:42 UTC
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