Indiana
Professional Licensing Agency
Nicole Yvonne Ottens
Controlled Substance Registration-Osteopathic Physician
License number
02003351B
Date granted
06/16/2008
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Marcotte Medical Group, 15900 W. 101st Ave., Dyer IN 46311
indianalicensing.org
ID 5798707
LAST UPDATED 2024-02-29 00:15:30 UTC
LAST UPDATED 2024-02-29 00:15:30 UTC
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