License holder summary

Nicole Marjorie Shirk is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Nicole Marjorie Shirk is 1050 Wishard Blvd. Sutie RG4100, Indianapolis IN 46202. This licensed professional license is current. The license was granted 08/24/2012 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Nicole Marjorie Shirk
Controlled Substance Registration-Physician Assistant
License number
10001278B
Date granted
08/24/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
1050 Wishard Blvd. Sutie RG4100, Indianapolis IN 46202
indianalicensing.org
ID 8387416
LAST UPDATED 2024-03-19 08:23:55 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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