License holder summary

MARIA ANTONIO MIRANDA is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARIA ANTONIO MIRANDA is 257 WALNUT STREET, CLINTON IN 47842. This licensed professional license is not current. The license was granted 09/27/1995 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

MARIA ANTONIO MIRANDA
Controlled Substance Registration - Physician
License number
01044291D
Date granted
09/27/1995
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
257 WALNUT STREET, CLINTON IN 47842
indianalicensing.org
ID 5835229
LAST UPDATED 2024-02-26 00:57:21 UTC

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