License holder summary

Nicolette Polite is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Nicolette Polite is 110 BROADWAY P O BOX 351, CEDAR LAKE IN 46303. This licensed professional license is current. The license was granted 09/01/1989 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Nicolette Polite
Controlled Substance Registration - Dentist
License number
12008929C
Date granted
09/01/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
110 BROADWAY P O BOX 351, CEDAR LAKE IN 46303
indianalicensing.org
ID 5086121
LAST UPDATED 2024-02-22 09:01:32 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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