License holder summary

Jacy Adam Nicholson is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jacy Adam Nicholson is 7120 S. US Highway 231, Huntingburg IN 47542. This licensed professional license is current. The license was granted 05/22/2013 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jacy Adam Nicholson
Controlled Substance Registration - Dentist
License number
12011947B
Date granted
05/22/2013
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7120 S. US Highway 231, Huntingburg IN 47542
indianalicensing.org
ID 5126649
LAST UPDATED 2024-03-29 15:44:12 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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