Indiana
Professional Licensing Agency
R. Nicole Sims
Controlled Substance Registration - Physician
License number
01066738B
Date granted
05/28/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3500 S Lafountain Street, Kokomo IN 46902
indianalicensing.org
ID 5876905
LAST UPDATED 2024-05-05 12:47:26 UTC
LAST UPDATED 2024-05-05 12:47:26 UTC
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