Indiana
Professional Licensing Agency
THOMAS DAVID NICHOLAS
Controlled Substance Registration - Physician
License number
01025421B
Date granted
02/28/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
TOWN SQUARE CLINIC, 111 W HIGH ST, ROCKVILLE IN 47872
indianalicensing.org
ID 5915582
LAST UPDATED 2024-02-29 11:21:17 UTC
LAST UPDATED 2024-02-29 11:21:17 UTC
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