Michael John Nommensen

Controlled Substance Registration - Physician

Indiana  01066790B   Active

This Indiana license is held by Michael John Nommensen. The license is currently active. It was granted on 03/25/2010 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01066790B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 03/25/2010 (about 15 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Lake Ridge Family Health Center, 1573 N. Cline Avenue, Griffith IN 46319