License holder summary

Stacy Ann Nichols-Byll is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Stacy Ann Nichols-Byll is Stacy Nichols-Byll, 1201 Michigan Avenue, Suite #330, Logansport IN 46947. This licensed professional license is not current. The license was granted 05/11/1999 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Stacy Ann Nichols-Byll
Controlled Substance Registration - Physician
License number
01049920B
Date granted
05/11/1999
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Stacy Nichols-Byll, 1201 Michigan Avenue, Suite #330, Logansport IN 46947
indianalicensing.org
ID 5885777
LAST UPDATED 2024-04-13 23:26:34 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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