Gary Scott Nickerson
Controlled Substance Registration - Dentist
Indiana 12009939C Active
This Indiana license is held by Gary Scott Nickerson. The license is currently active. It was granted on 05/22/1998 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12009939C
- Category: CSR-Dentist
- Status: Active
- Date Granted: 05/22/1998 (almost 27 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
Pediatric Dentistry of Northwest IN, 809 Wall Street, Valparaiso IN 46383-2570
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