License holder summary

Brian Jacob Niedbalski is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Brian Jacob Niedbalski is 3201 Middle Road, Columbus IN 47203. This licensed professional license is current. The license was granted 01/23/2001 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Brian Jacob Niedbalski
Controlled Substance Registration - Physician
License number
01050916C
Date granted
01/23/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3201 Middle Road, Columbus IN 47203
indianalicensing.org
ID 5835846
LAST UPDATED 2024-02-20 06:09:08 UTC

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