Indiana
Professional Licensing Agency
Kent Alan Nickell
Controlled Substance Registration - Physician
License number
01037393B
Date granted
08/19/1992
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST ANTHONY MED CENTER DEPT OF PATHOLOGY, MAIN AT FRANCISCAN RDS, CROWN POINT IN 46307
indianalicensing.org
ID 5841351
LAST UPDATED 2024-05-12 01:25:33 UTC
LAST UPDATED 2024-05-12 01:25:33 UTC
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