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
LAST UPDATED 2024-04-04 22:42:33 UTC
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