License holder summary

Nicole Suzanne Boersma is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Nicole Suzanne Boersma is Family Health Services, 509 Conrad Harcourt Way, Rushville IN 46173. This licensed professional license is current. The license was granted 08/14/2006 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Nicole Suzanne Boersma
Controlled Substance Registration - Physician
License number
01062609B
Date granted
08/14/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Family Health Services, 509 Conrad Harcourt Way, Rushville IN 46173
indianalicensing.org
ID 5915921
LAST UPDATED 2024-04-01 01:22:36 UTC

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