Jack Edgar Nicewander
Controlled Substance Registration - Dentist
Indiana 12007501B Active
This Indiana license is held by Jack Edgar Nicewander. The license is currently active. It was granted on 06/30/1986 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12007501B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 06/30/1986 (almost 38 years ago)
- Expiry Date: 03/01/2016 (over 8 years ago)
LOCATIONS
A Address
5511 E. 82nd St. Ste. F, Indianapolis IN 46250
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