License holder summary

Nicholas Perry Costidakis is a Controlled Substance Registration - Podiatrist licensed to practice in Indiana. The address on file for Nicholas Perry Costidakis is 975 Mezzanine Drive, Suite B, Lafayette IN 47905. This licensed professional license is current. The license was granted 01/31/1992 and expired on 06/30/2015.

Indiana

Professional Licensing Agency

Nicholas Perry Costidakis
Controlled Substance Registration - Podiatrist
License number
07000748B
Date granted
01/31/1992
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
975 Mezzanine Drive, Suite B, Lafayette IN 47905
indianalicensing.org
ID 8431121
LAST UPDATED 2024-05-02 15:25:40 UTC

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