License holder summary

Nicholas Xenopoulos is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Nicholas Xenopoulos is 601 NORTH BROADWAY STE 27, MADISON IN 47250. This licensed professional license is not current. The license was granted 04/24/1997 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Nicholas Xenopoulos
Controlled Substance Registration - Physician
License number
01046596B
Date granted
04/24/1997
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
601 NORTH BROADWAY STE 27, MADISON IN 47250
indianalicensing.org
ID 5887082
LAST UPDATED 2024-04-02 21:24:43 UTC

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