License holder summary

SAMUEL JUNIOR MILLER is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for SAMUEL JUNIOR MILLER is 210 E RUSS ST, MISHAWAKA IN 46545. This licensed professional license is not current. The license was granted 02/28/1986 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

SAMUEL JUNIOR MILLER
Controlled Substance Registration - Dentist
License number
12005659B
Date granted
02/28/1986
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
210 E RUSS ST, MISHAWAKA IN 46545
indianalicensing.org
ID 5112803
LAST UPDATED 2024-02-09 12:10:36 UTC

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