License holder summary

Rene Elizabeth Miranda is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Rene Elizabeth Miranda is 709 WEST FIRST STREET, BLOOMINGTON IN 47403. This licensed professional license is not current. The license was granted 07/28/1994 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Rene Elizabeth Miranda
Controlled Substance Registration - Physician
License number
01042914B
Date granted
07/28/1994
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
709 WEST FIRST STREET, BLOOMINGTON IN 47403
indianalicensing.org
ID 5825544
LAST UPDATED 2026-05-10 00:37:34 UTC

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