Indiana
Professional Licensing Agency
NICHOLAS N PROCHOROFF
Controlled Substance Registration - Physician
License number
01026815B
Date granted
05/31/1986
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
129 TIMBER LANE, Brownsburg IN 46112
indianalicensing.org
ID 5829018
LAST UPDATED 2024-02-08 08:40:12 UTC
LAST UPDATED 2024-02-08 08:40:12 UTC
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