JON FRANK NICOSIA

Controlled Substance Registration - Physician

Indiana  01020841B   Expired

This Indiana license was held by JON FRANK NICOSIA. The license is no longer active. It was granted on 06/30/1984 and expired on 06/30/2001

LICENSE DETAILS

  • License Number: 01020841B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 06/30/1984 (about 42 years ago)
  • Expiry Date: 06/30/2001 (about 25 years ago)

LOCATIONS

A Address

4320 FIR STREET #220, EAST CHICAGO IN 46312