Johari Nicole Miller

Controlled Substance Registration - Physician

Indiana  01054451B   Active

This Indiana license is held by Johari Nicole Miller. The license is currently active. It was granted on 06/26/2001 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01054451B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 06/26/2001 (about 25 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

2600 FERRY STREET, Lafayette IN 47904