Indiana
Professional Licensing Agency
Mary Helen Nicholson
Controlled Substance Registration - Physician
License number
01048811B
Date granted
07/06/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Munster Radio Grp % Comm. Hosp, 901 MacArthur Blvd., Munster IN 46321
indianalicensing.org
ID 5900977
LAST UPDATED 2024-02-25 03:28:14 UTC
LAST UPDATED 2024-02-25 03:28:14 UTC
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