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
LAST UPDATED 2024-02-12 11:05:12 UTC
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