License holder summary

Salomon Levy Miranda is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Salomon Levy Miranda is Scott Memorial, 1451 N Gardner Street, Scottsburg IN 47170. This licensed professional license is current. The license was granted 05/28/2014 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Salomon Levy Miranda
Controlled Substance Registration - Physician
License number
01074027B
Date granted
05/28/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Scott Memorial, 1451 N Gardner Street, Scottsburg IN 47170
indianalicensing.org
ID 27719498
LAST UPDATED 2024-02-23 11:59:36 UTC

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