Indiana
Professional Licensing Agency
Wayne C. Nickens
Controlled Substance Registration - Physician
License number
01069547B
Date granted
05/19/2011
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Otis R. Bowen Center for Human Services, INC., 850 N. Harrison St., Warsaw IN 46580-3163
indianalicensing.org
ID 5933014
LAST UPDATED 2024-04-26 01:33:05 UTC
LAST UPDATED 2024-04-26 01:33:05 UTC
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