Indiana
Professional Licensing Agency
Thomas D. Miale
Controlled Substance Registration - Physician
License number
01064579B
Date granted
12/03/2007
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Salem Pediatrics, 911 N Shelby Street, Salem IN 47167
indianalicensing.org
ID 5916794
LAST UPDATED 2024-05-01 03:05:47 UTC
LAST UPDATED 2024-05-01 03:05:47 UTC
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