License holder summary

Mark Edric Nielson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark Edric Nielson is 8660 Lantern Farms Drive, Fishers IN 46038. This licensed professional license is current. The license was granted 02/23/2010 and expired on 10/31/2015.

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

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