Indiana
Professional Licensing Agency
Michael John Nies
Controlled Substance Registration - Dentist
License number
12011123B
Date granted
06/03/2008
Date expires
03/01/2012
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Aspen Dental, 330 N. Jacob Drive, Bloomington IN 47404
indianalicensing.org
ID 5083351
LAST UPDATED 2024-02-24 23:53:18 UTC
LAST UPDATED 2024-02-24 23:53:18 UTC
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