License holder summary

Russell Brian Midkiff is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Russell Brian Midkiff is Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545. This licensed professional license is current. The license was granted 04/24/1997 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Russell Brian Midkiff
Controlled Substance Registration - Physician
License number
01046550B
Date granted
04/24/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5895836
LAST UPDATED 2024-04-15 13:19:45 UTC

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