Mario D. Miranda

Controlled Substance Registration-Osteopathic Physician

Indiana  02003258B   Active

This Indiana license is held by Mario D. Miranda. The license is currently active. It was granted on 09/28/2007 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 02003258B
  • Category: CSR-Osteopathic Physician
  • Status: Active
  • Date Granted: 09/28/2007 (over 17 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

St. Mary Medical Center, 1500 S. Lake Park Avenue, Hobart IN 46342