License holder summary

Nina Holtzapple Dereska is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Nina Holtzapple Dereska is Urology of Indiana, LLC, 679 E County Line Road, Greenwood IN 46143-1049. This licensed professional license is not current. The license was granted 06/16/2010 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Nina Holtzapple Dereska
Controlled Substance Registration - Physician
License number
01067358B
Date granted
06/16/2010
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Urology of Indiana, LLC, 679 E County Line Road, Greenwood IN 46143-1049
indianalicensing.org
ID 5862283
LAST UPDATED 2024-03-04 19:01:02 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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