BRENT ANTHONY NIELSEN

Controlled Substance Registration - Physician

Indiana  01054999B   Expired

This Indiana license was held by BRENT ANTHONY NIELSEN. The license is no longer active. It was granted on 09/20/2001 and expired on 06/30/2007

LICENSE DETAILS

  • License Number: 01054999B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 09/20/2001 (over 23 years ago)
  • Expiry Date: 06/30/2007 (almost 18 years ago)

LOCATIONS

A Address

INDIANA UNIVERSITY HEALTH CENTER, 600 NORTH JORDAN AVENUE, Bloomington IN 47405