Indiana
Professional Licensing Agency
Nicholas Misecko, Jr.
Controlled Substance Registration - Dentist
License number
12005141B
Date granted
03/31/1986
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
5 N. 10th Street, Lafayette IN 47901
indianalicensing.org
ID 5107740
LAST UPDATED 2024-03-14 00:36:12 UTC
LAST UPDATED 2024-03-14 00:36:12 UTC
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