License holder summary

Malcolm Baker Miracle is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Malcolm Baker Miracle is 545 Country Club Road, Corydon IN 47112. This licensed professional license is current. The license was granted 04/28/2008 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Malcolm Baker Miracle
Controlled Substance Registration - Dentist
License number
12011114B
Date granted
04/28/2008
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
545 Country Club Road, Corydon IN 47112
indianalicensing.org
ID 5088435
LAST UPDATED 2024-02-28 21:05:29 UTC

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