License holder summary

Jack Edgar Nicewander is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jack Edgar Nicewander is 5511 E. 82nd St. Ste. F, Indianapolis IN 46250. This licensed professional license is current. The license was granted 06/30/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jack Edgar Nicewander
Controlled Substance Registration - Dentist
License number
12007501B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
5511 E. 82nd St. Ste. F, Indianapolis IN 46250
indianalicensing.org
ID 5102653
LAST UPDATED 2024-03-15 18:06:32 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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