Gary Scott Nickerson

Controlled Substance Registration - Dentist

Indiana  12009939B   Active

This Indiana license is held by Gary Scott Nickerson. The license is currently active. It was granted on 06/18/1997 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12009939B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 06/18/1997 (almost 28 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

2833 Lincoln Street, Highland IN 46322-1924