License holder summary

Nicholas Ryan Newsom is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Nicholas Ryan Newsom is 6827 Woodhaven Pl, Zionsville IN 46077. This licensed professional license is current. The license was granted 06/14/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Nicholas Ryan Newsom
Controlled Substance Registration - Physician
License number
01069112B
Date granted
06/14/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6827 Woodhaven Pl, Zionsville IN 46077
indianalicensing.org
ID 5937071
LAST UPDATED 2024-04-04 22:42:33 UTC

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