Indiana
Professional Licensing Agency
Kirk Anthony Nienaber
Controlled Substance Registration - Physician
License number
01050830B
Date granted
08/17/1999
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
IMA INC, 719 S Rogers St., Bloomington IN 47403
indianalicensing.org
ID 5824988
LAST UPDATED 2024-03-08 08:55:24 UTC
LAST UPDATED 2024-03-08 08:55:24 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.