Indiana
Professional Licensing Agency
Miriam Hoffman
Controlled Substance Registration - Physician
License number
01069121B
Date granted
01/18/2011
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Clarian West Medical Center, 1111 N Ronald Reagan Pkwy, Avon IN 46123
indianalicensing.org
ID 5820402
LAST UPDATED 2026-03-31 07:58:14 UTC
LAST UPDATED 2026-03-31 07:58:14 UTC
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