Indiana
Professional Licensing Agency
Michael Lee Nicholas
Controlled Substance Registration - Physician
License number
01036176B
Date granted
04/08/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
697 Pro-Med Lane, Carmel IN 46032
indianalicensing.org
ID 5831431
LAST UPDATED 2024-04-29 02:00:53 UTC
LAST UPDATED 2024-04-29 02:00:53 UTC
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