Mark Edric Nielson
Controlled Substance Registration - Physician
Indiana 01067783B Active
This Indiana license is held by Mark Edric Nielson. The license is currently active. It was granted on 02/23/2010 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01067783B
- Category: CSR-Physician
- Status: Active
- Date Granted: 02/23/2010 (over 14 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
8660 Lantern Farms Drive, Fishers IN 46038
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