Indiana
Professional Licensing Agency
Jerry Gene Nieten
Controlled Substance Registration - Dentist
License number
12007047B
Date granted
06/15/1973
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
12558 East 191st Street, Noblesville IN 46060
indianalicensing.org
ID 5116783
LAST UPDATED 2024-04-21 05:12:18 UTC
LAST UPDATED 2024-04-21 05:12:18 UTC
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