Indiana
Professional Licensing Agency
Matthew Ivan Miller
Controlled Substance Registration - Dentist
License number
12009135B
Date granted
07/06/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
11701 EAST WASHINGTON STREET, INDIANAPOLIS IN 46229
indianalicensing.org
ID 5103544
LAST UPDATED 2024-04-01 02:37:46 UTC
LAST UPDATED 2024-04-01 02:37:46 UTC
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