License holder summary

Nichole L Gruneisen is a Physician Assistant licensed to practice in Indiana. The address on file for Nichole L Gruneisen is Indianapolis IN 46280. This licensed professional license is current. The license was granted 06/10/2014 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Nichole L Gruneisen
Physician Assistant
License number
10001658A
Date granted
06/10/2014
Date expires
06/30/2016
Class
Physician Assistant
Status
Active
Address
Indianapolis IN 46280
indianalicensing.org
ID 29180519
LAST UPDATED 2024-04-09 02:19:18 UTC

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