License holder summary

Matthew Kevin Nickerson is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Matthew Kevin Nickerson is ST MARGARET MERCY NORTH EMER DEPT, 5454 HOHMAN AVENUE, HAMMOND IN 46320. This licensed professional license is not current. The license was granted 12/07/1995 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Matthew Kevin Nickerson
Controlled Substance Registration-Osteopathic Physician
License number
02001698B
Date granted
12/07/1995
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ST MARGARET MERCY NORTH EMER DEPT, 5454 HOHMAN AVENUE, HAMMOND IN 46320
indianalicensing.org
ID 5802731
LAST UPDATED 2024-02-08 02:20:09 UTC

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