License holder summary

Mackenzi Jonniece Nelson is a Controlled Substance Registration - Podiatrist licensed to practice in Indiana. The address on file for Mackenzi Jonniece Nelson is 9750 Lakeshore Drive, Indianapolis IN 46280. This licensed professional license is current. The license was granted 02/15/2010 and expired on 06/30/2015.

Indiana

Professional Licensing Agency

Mackenzi Jonniece Nelson
Controlled Substance Registration - Podiatrist
License number
07001100B
Date granted
02/15/2010
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
9750 Lakeshore Drive, Indianapolis IN 46280
indianalicensing.org
ID 8430904
LAST UPDATED 2024-02-12 11:05:12 UTC

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