Indiana
Professional Licensing Agency
Randall Lee Miller
Controlled Substance Registration - Dentist
License number
12009483B
Date granted
11/16/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
117 West Washington Street, Shelbyville IN 46176-1245
indianalicensing.org
ID 5122227
LAST UPDATED 2024-02-15 19:15:13 UTC
LAST UPDATED 2024-02-15 19:15:13 UTC
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