License holder summary

THEODORA JEANNE NELSON is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for THEODORA JEANNE NELSON is PEDIATRIC CENTER OF RICHMOND, 1434 CHESTER BLVD, RICHMOND IN 47374. This licensed professional license is not current. The license was granted 12/05/1996 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

THEODORA JEANNE NELSON
Controlled Substance Registration - Physician
License number
01045989B
Date granted
12/05/1996
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PEDIATRIC CENTER OF RICHMOND, 1434 CHESTER BLVD, RICHMOND IN 47374
indianalicensing.org
ID 5914420
LAST UPDATED 2024-03-06 14:22:42 UTC

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