License holder summary

NANCY KATHLEEN DEATON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for NANCY KATHLEEN DEATON is 411 N NOTRE DAME AVENUE, SOUTH BEND IN 46617. This licensed professional license is not current. The license was granted 08/04/1987 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

NANCY KATHLEEN DEATON
Controlled Substance Registration - Physician
License number
01036200B
Date granted
08/04/1987
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
411 N NOTRE DAME AVENUE, SOUTH BEND IN 46617
indianalicensing.org
ID 5921813
LAST UPDATED 2024-02-22 13:14:55 UTC

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