License holder summary

RICHARD LEON NILES is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for RICHARD LEON NILES is 1132 SOMERSET LANE, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 06/30/1986.

Indiana

Professional Licensing Agency

RICHARD LEON NILES
Controlled Substance Registration - Dentist
License number
12004306B
Date granted
06/30/1986
Date expires
06/30/1986
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1132 SOMERSET LANE, FORT WAYNE IN 46805
indianalicensing.org
ID 5095664
LAST UPDATED 2024-03-28 17:35:18 UTC

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