Indiana
Professional Licensing Agency
Myles J.A. Grant
Controlled Substance Registration - Physician
License number
01028736B
Date granted
07/31/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Mary's Medical Center, 3700 Washington Ave., Evansville IN 47750
indianalicensing.org
ID 5850745
LAST UPDATED 2024-03-07 21:22:18 UTC
LAST UPDATED 2024-03-07 21:22:18 UTC
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