License holder summary

Nicholas Lee Nussbaum is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Nicholas Lee Nussbaum is Monroe Family Medicine, 205 Tower Drive, Monroe IN 46772. This licensed professional license is current. The license was granted 07/25/2008 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Nicholas Lee Nussbaum
Controlled Substance Registration - Physician
License number
01063067C
Date granted
07/25/2008
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Monroe Family Medicine, 205 Tower Drive, Monroe IN 46772
indianalicensing.org
ID 5896348
LAST UPDATED 2024-02-04 12:54:07 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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