Matthew Kevin Nickerson

Controlled Substance Registration-Osteopathic Physician

Indiana  02003659B   Active

This Indiana license is held by Matthew Kevin Nickerson. The license is currently active. It was granted on 04/07/2010 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 02003659B
  • Category: CSR-Osteopathic Physician
  • Status: Active
  • Date Granted: 04/07/2010 (about 15 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Munster Community Hospital, 901 MacArther Blvd., Munster IN 46321