Indiana
Professional Licensing Agency
Nicole Marie Wilson Hall
Controlled Substance Registration-Osteopathic Physician
License number
02003666B
Date granted
12/12/2011
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Union Hospital, 1606 N Seventh Street, Terre Haute IN 47804
indianalicensing.org
ID 5814392
LAST UPDATED 2024-04-13 05:21:26 UTC
LAST UPDATED 2024-04-13 05:21:26 UTC
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