Indiana
Professional Licensing Agency
MICHAEL C MINICK
Controlled Substance Registration - Physician
License number
01029514B
Date granted
08/17/1979
Date expires
07/31/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
200 W WHITLEY ST, CHURUBUSCO IN 46723
indianalicensing.org
ID 5834014
LAST UPDATED 2024-04-04 06:39:32 UTC
LAST UPDATED 2024-04-04 06:39:32 UTC
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