Indiana
Professional Licensing Agency
Jose Nicolini Tord
Controlled Substance Registration - Physician
License number
01023242B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
7811 Providence Circle, Indianapolis IN 46250
indianalicensing.org
ID 5869999
LAST UPDATED 2026-05-16 09:19:38 UTC
LAST UPDATED 2026-05-16 09:19:38 UTC
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