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 2026-04-26 23:22:48 UTC
LAST UPDATED 2026-04-26 23:22:48 UTC
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