Indiana
Professional Licensing Agency
Miles Alden Erickson
Controlled Substance Registration - Physician
License number
01061686B
Date granted
01/27/2006
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
c/o Patrician Lathrem, Madison State Hospital 711 Green Road, Madison IN 47250
indianalicensing.org
ID 5887067
LAST UPDATED 2024-03-24 22:06:06 UTC
LAST UPDATED 2024-03-24 22:06:06 UTC
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