License holder summary

Kristen W. Gollnick is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kristen W. Gollnick is NorthStar Pediatrics, 9756 Lantern Road, Fishers IN 46038. This licensed professional license is current. The license was granted 04/17/2002 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kristen W. Gollnick
Controlled Substance Registration - Physician
License number
01055066B
Date granted
04/17/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
NorthStar Pediatrics, 9756 Lantern Road, Fishers IN 46038
indianalicensing.org
ID 5851973
LAST UPDATED 2024-02-19 17:59:20 UTC

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