Indiana
Professional Licensing Agency
MARK TODD MILLER
Controlled Substance Registration-Osteopathic Physician
License number
02001347B
Date granted
10/02/1992
Date expires
06/30/1995
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
HAMMOND CLINIC, 7905 CALUMET AVE, MUNSTER IN 46321
indianalicensing.org
ID 5810099
LAST UPDATED 2024-03-08 01:09:41 UTC
LAST UPDATED 2024-03-08 01:09:41 UTC
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