Indiana
Professional Licensing Agency
John Thomas Nichols
Controlled Substance Registration - Dentist
License number
12009437B
Date granted
03/15/2005
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
725 North Madison Avenue, Anderson IN 46011-1203
indianalicensing.org
ID 5080786
LAST UPDATED 2024-04-21 23:50:05 UTC
LAST UPDATED 2024-04-21 23:50:05 UTC
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