License holder summary

KARL RAY KELLY NICHOLES is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KARL RAY KELLY NICHOLES is MC CRAY MEMORIAL HOSPITAL, HOSPITAL DRIVE P O BOX 249, KENDALLVILLE IN 46755. This licensed professional license is not current. The license was granted 05/22/1997 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

KARL RAY KELLY NICHOLES
Controlled Substance Registration - Physician
License number
01046748B
Date granted
05/22/1997
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MC CRAY MEMORIAL HOSPITAL, HOSPITAL DRIVE P O BOX 249, KENDALLVILLE IN 46755
indianalicensing.org
ID 5874954
LAST UPDATED 2024-04-11 10:08:34 UTC

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