License holder summary

ORVAL J MILLER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ORVAL J MILLER is 1810 KENSINGTON BOULEVARD, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

ORVAL J MILLER
Controlled Substance Registration - Physician
License number
01012379B
Date granted
02/28/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1810 KENSINGTON BOULEVARD, FORT WAYNE IN 46805
indianalicensing.org
ID 5854138
LAST UPDATED 2024-02-14 04:10:41 UTC

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