Indiana
Professional Licensing Agency
Nissa Nicole McConnell
Controlled Substance Registration - Dentist
License number
12011723B
Date granted
08/15/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
731 North Green River, Evansville IN 47715
indianalicensing.org
ID 5092541
LAST UPDATED 2024-02-22 22:33:59 UTC
LAST UPDATED 2024-02-22 22:33:59 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.