Adela Miranda Perez

Controlled Substance Registration - Physician

Indiana  01026158B   Active

This Indiana license is held by Adela Miranda Perez. The license is currently active. It was granted on 05/31/1986 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01026158B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 05/31/1986 (almost 38 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

110 Ridge Road, Suite 10, Munster IN 46321