License holder summary

NINA LARYSA WOLCHASTY TAYLOR is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for NINA LARYSA WOLCHASTY TAYLOR is ST MARY MEDICAL CENTER, 1500 SOUTH LAKE PARK DRIVE, HOBART IN 46342. This licensed professional license is not current. The license was granted 12/01/1994 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

NINA LARYSA WOLCHASTY TAYLOR
Controlled Substance Registration-Osteopathic Physician
License number
02001613B
Date granted
12/01/1994
Date expires
06/30/1995
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ST MARY MEDICAL CENTER, 1500 SOUTH LAKE PARK DRIVE, HOBART IN 46342
indianalicensing.org
ID 5803499
LAST UPDATED 2024-05-05 17:11:08 UTC

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