Indiana
Professional Licensing Agency
NICHOLAS S MIRKOPOULOS
Controlled Substance Registration - Physician
License number
01042544B
Date granted
06/14/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
MARGARET MARY HOSPITAL-Janet Ford MED STAFF OFFICE, 321 Mitchell Ave. P.O. Box 226, BATESVILLE IN 47006
indianalicensing.org
ID 5821413
LAST UPDATED 2024-03-28 05:19:07 UTC
LAST UPDATED 2024-03-28 05:19:07 UTC
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