License holder summary

Nimitz Prudencia Falcon is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Nimitz Prudencia Falcon is 243 ST ANDREWS DRIVE, SCHERERVILLE IN 46375. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

Nimitz Prudencia Falcon
Controlled Substance Registration - Physician
License number
01027472B
Date granted
01/31/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
243 ST ANDREWS DRIVE, SCHERERVILLE IN 46375
indianalicensing.org
ID 5917169
LAST UPDATED 2024-05-06 08:08:28 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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