Jack Matthew Miller
Controlled Substance Registration - Dentist
Indiana 12009482C Active
This Indiana license is held by Jack Matthew Miller. The license is currently active. It was granted on 07/23/2002 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009482C
- Category: CSR-Dentist
- Status: Active
- Date Granted: 07/23/2002 (over 22 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
Indy Dental Group LLC, 12720 Meeting House Road, Carmel IN 46032-7334
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