License holder summary

Nikolay Petrov Mitzov is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Nikolay Petrov Mitzov is 2627 W 1000 S, Pendleton IN 46064. This licensed professional license is not current. The license was granted 09/25/2002 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Nikolay Petrov Mitzov
Controlled Substance Registration - Physician
License number
01056818B
Date granted
09/25/2002
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2627 W 1000 S, Pendleton IN 46064
indianalicensing.org
ID 5909244
LAST UPDATED 2026-04-28 21:04:12 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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