Indiana
Professional Licensing Agency
Miles Burton Andrew
Controlled Substance Registration - Physician
License number
01040450B
Date granted
08/11/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Granger Community Medicine, 12563 State Road 23, Granger IN 46530
indianalicensing.org
ID 5859600
LAST UPDATED 2024-03-31 16:03:55 UTC
LAST UPDATED 2024-03-31 16:03:55 UTC
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