License holder summary

NICOLE LEE LOCKWOOD is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for NICOLE LEE LOCKWOOD is AMERICAN HEALTH NETWORK, 2330 SOUTH DIXON LANE, KOKOMO IN 46902. This licensed professional license is current. The license was granted 07/22/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

NICOLE LEE LOCKWOOD
Controlled Substance Registration - Physician
License number
01045387B
Date granted
07/22/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
AMERICAN HEALTH NETWORK, 2330 SOUTH DIXON LANE, KOKOMO IN 46902
indianalicensing.org
ID 5876793
LAST UPDATED 2024-03-02 01:05:55 UTC

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