JEFFREY ROBERT NICKEL

Controlled Substance Registration - Physician

Indiana  01041599B   Active

This Indiana license is held by JEFFREY ROBERT NICKEL. The license is currently active. It was granted on 07/01/1993 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01041599B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 07/01/1993 (about 33 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

Jeffrey R. Nickel, MD, 2300 N. Black Oak Dr., Angola IN 46703