Indiana
Professional Licensing Agency
Mary Jayne Miles
Controlled Substance Registration - Dentist
License number
12011029B
Date granted
08/06/2007
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2038 Lincoln Avenue, Evansville IN 47714
indianalicensing.org
ID 5092459
LAST UPDATED 2024-04-20 06:14:22 UTC
LAST UPDATED 2024-04-20 06:14:22 UTC
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