Jerry Gene Nieten
Controlled Substance Registration - Dentist
Indiana 12007047B Expired
This Indiana license was held by Jerry Gene Nieten. The license is no longer active. It was granted on 06/15/1973 and expired on 03/01/2012
LICENSE DETAILS
- License Number: 12007047B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 06/15/1973 (about 51 years ago)
- Expiry Date: 03/01/2012 (over 12 years ago)
LOCATIONS
A Address
12558 East 191st Street, Noblesville IN 46060