Indiana
Professional Licensing Agency
Nickole Rene Bazger
Controlled Substance Registration-Osteopathic Physician
License number
02003860B
Date granted
06/20/2011
Date expires
10/31/2013
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
St. Joseph OB/GYN Medical Office Bldg., 611 E. Douglas Road, Suite #408, Mishawaka IN 46545
indianalicensing.org
ID 5809233
LAST UPDATED 2024-05-07 01:57:00 UTC
LAST UPDATED 2024-05-07 01:57:00 UTC
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