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
LAST UPDATED 2024-04-02 21:24:43 UTC
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