License holder summary

Anne Francis Nicol is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Anne Francis Nicol is PARK CNETER INC, 909 EAST STATE BOULEVARD, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 02/03/1995 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

Anne Francis Nicol
Controlled Substance Registration - Physician
License number
01039831C
Date granted
02/03/1995
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
PARK CNETER INC, 909 EAST STATE BOULEVARD, FORT WAYNE IN 46805
indianalicensing.org
ID 5852941
LAST UPDATED 2024-02-26 15:19:51 UTC

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