Philip James Mirise
Controlled Substance Registration - Dentist
Indiana 12009980B Active
This Indiana license is held by Philip James Mirise. The license is currently active. It was granted on 07/09/1997 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009980B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 07/09/1997 (almost 28 years ago)
- Expiry Date: 03/01/2016 (over 9 years ago)
LOCATIONS
A Address
850 Cedar Lane, Franklin IN 46131-1089
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