Indiana
Professional Licensing Agency
TED ROBERT NIEMIEC
Controlled Substance Registration - Physician
License number
01032804B
Date granted
09/28/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1726 Laurel Lane, Munster IN 46321
indianalicensing.org
ID 5901600
LAST UPDATED 2024-03-20 10:31:57 UTC
LAST UPDATED 2024-03-20 10:31:57 UTC
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