Indiana
Professional Licensing Agency
GERALD ELVIN NICKENS
Controlled Substance Registration - Dentist
License number
12005664B
Date granted
06/30/1986
Date expires
03/01/1988
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
3700 BELLEMEADE AVENUE #204, EVANSVILLE IN 47715
indianalicensing.org
ID 5091939
LAST UPDATED 2024-04-04 08:58:01 UTC
LAST UPDATED 2024-04-04 08:58:01 UTC
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