Indiana
Professional Licensing Agency
Nicholas Peter Taraska
Controlled Substance Registration - Physician
License number
01070118B
Date granted
08/18/2011
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1115 N. Ronald Reagan Pkwy #383, Avon IN 46123
indianalicensing.org
ID 5820415
LAST UPDATED 2024-05-15 07:49:36 UTC
LAST UPDATED 2024-05-15 07:49:36 UTC
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