License holder summary

Paul Henry Fry Miller is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Paul Henry Fry Miller is Manchester Clinic, 1104 N. Wayne St., North Manchester IN 46962. This licensed professional license is current. The license was granted 12/20/2007 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Paul Henry Fry Miller
Controlled Substance Registration-Physician Assistant
License number
10000057B
Date granted
12/20/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Manchester Clinic, 1104 N. Wayne St., North Manchester IN 46962
indianalicensing.org
ID 8388205
LAST UPDATED 2024-03-21 02:38:38 UTC

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