License holder summary

Richard Loy Nielsen is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Richard Loy Nielsen is 14717 Walnut Creek Dr., Fort Wayne IN 46814. This licensed professional license is current. The license was granted 01/20/2010 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Richard Loy Nielsen
Controlled Substance Registration - Physician
License number
01025422C
Date granted
01/20/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
14717 Walnut Creek Dr., Fort Wayne IN 46814
indianalicensing.org
ID 5854319
LAST UPDATED 2024-03-15 11:54:41 UTC

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