Indiana
Professional Licensing Agency
Gary Scott Nickerson
Controlled Substance Registration - Dentist
License number
12009939B
Date granted
06/18/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2833 Lincoln Street, Highland IN 46322-1924
indianalicensing.org
ID 5100645
LAST UPDATED 2024-02-23 17:39:03 UTC
LAST UPDATED 2024-02-23 17:39:03 UTC
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