Gerald Dwight Mick
Controlled Substance Registration - Physician
Indiana 01047173C Active
This Indiana license is held by Gerald Dwight Mick. The license is currently active. It was granted on 06/10/2003 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01047173C
- Category: CSR-Physician
- Status: Active
- Date Granted: 06/10/2003 (over 23 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
12400 N. Meridian Street, Suit 100, Carmel IN 46032
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