License holder summary

Nickole Rene Bazger is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Nickole Rene Bazger is St. Joseph OB/GYN Medical Office Bldg., 611 E. Douglas Road, Suite #408, Mishawaka IN 46545. This licensed professional license is not current. The license was granted 06/20/2011 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Nickole Rene Bazger
Controlled Substance Registration-Osteopathic Physician
License number
02003860B
Date granted
06/20/2011
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
St. Joseph OB/GYN Medical Office Bldg., 611 E. Douglas Road, Suite #408, Mishawaka IN 46545
indianalicensing.org
ID 5809233
LAST UPDATED 2024-04-06 02:41:48 UTC

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