JACK WAYNE MILLER
Controlled Substance Registration - Physician
Indiana 01041752B Expired
This Indiana license was held by JACK WAYNE MILLER. The license is no longer active. It was granted on 07/29/1993 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01041752B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/29/1993 (almost 33 years ago)
- Expiry Date: 06/30/1997 (almost 29 years ago)
LOCATIONS
A Address
PEDIATRIC ADVOCATES DR NEIL STALKER, 285 W 12TH ST, PERU IN 46970