Brian Jacob Niedbalski
Controlled Substance Registration - Physician
Indiana 01050916C Active
This Indiana license is held by Brian Jacob Niedbalski. The license is currently active. It was granted on 01/23/2001 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01050916C
- Category: CSR-Physician
- Status: Active
- Date Granted: 01/23/2001 (over 24 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
3201 Middle Road, Columbus IN 47203
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