License holder summary

KEITH C NICHOLS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KEITH C NICHOLS is KINGS DAUGHTERS HOSPITAL, P O BOX 447, MADISON IN 47250. This licensed professional license is not current. The license was granted 10/07/1985 and expired on 06/30/1987.

Indiana

Professional Licensing Agency

KEITH C NICHOLS
Controlled Substance Registration - Physician
License number
01034688B
Date granted
10/07/1985
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
KINGS DAUGHTERS HOSPITAL, P O BOX 447, MADISON IN 47250
indianalicensing.org
ID 5886842
LAST UPDATED 2026-03-18 11:32:34 UTC

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