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
LAST UPDATED 2024-03-21 02:38:38 UTC
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