License holder summary

Philip James Mirise is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Philip James Mirise is 850 Cedar Lane, Franklin IN 46131-1089. This licensed professional license is current. The license was granted 07/09/1997 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Philip James Mirise
Controlled Substance Registration - Dentist
License number
12009980B
Date granted
07/09/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
850 Cedar Lane, Franklin IN 46131-1089
indianalicensing.org
ID 5097097
LAST UPDATED 2024-03-27 16:27:40 UTC

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