License holder summary

Nana K. Y. M. Ericsson is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Nana K. Y. M. Ericsson is 1608 Tooley Court, Kokomo IN 46901. This licensed professional license is not current. The license was granted 02/07/2001 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Nana K. Y. M. Ericsson
Controlled Substance Registration - Physician
License number
01053471B
Date granted
02/07/2001
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1608 Tooley Court, Kokomo IN 46901
indianalicensing.org
ID 5876783
LAST UPDATED 2024-03-16 14:21:09 UTC

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