Indiana
Professional Licensing Agency
Mark Edric Nielson
Controlled Substance Registration - Physician
License number
01067783B
Date granted
02/23/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
8660 Lantern Farms Drive, Fishers IN 46038
indianalicensing.org
ID 5852026
LAST UPDATED 2024-03-01 12:35:06 UTC
LAST UPDATED 2024-03-01 12:35:06 UTC
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