License holder summary

Nicasia S. Perez is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Nicasia S. Perez is Wabash Valley Hospital attn: Rick Crawley, 2900 N River Road, West Lafayette IN 47906. This licensed professional license is not current. The license was granted 10/31/1985 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Nicasia S. Perez
Controlled Substance Registration - Physician
License number
01032913B
Date granted
10/31/1985
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Wabash Valley Hospital attn: Rick Crawley, 2900 N River Road, West Lafayette IN 47906
indianalicensing.org
ID 5934341
LAST UPDATED 2024-03-25 10:18:24 UTC

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