Indiana
Professional Licensing Agency
Kristine Marie Nicoletto
Controlled Substance Registration-Physician Assistant
License number
10001171B
Date granted
05/28/2010
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Community Hospital, 901 MacArthur Blvd., Munster IN 46321
indianalicensing.org
ID 8388063
LAST UPDATED 2024-03-02 19:51:42 UTC
LAST UPDATED 2024-03-02 19:51:42 UTC
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