Indiana
Professional Licensing Agency
Teresa Ann Nicholson
Controlled Substance Registration - Dentist
License number
12010638B
Date granted
06/17/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Nicholson Family Dental, 200 East McGalliard Road, Muncie IN 47303
indianalicensing.org
ID 5114348
LAST UPDATED 2024-01-21 12:42:39 UTC
LAST UPDATED 2024-01-21 12:42:39 UTC
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