NICHOLAS N PROCHOROFF
Controlled Substance Registration - Physician
Indiana 01026815B Expired
This Indiana license was held by NICHOLAS N PROCHOROFF. The license is no longer active. It was granted on 05/31/1986 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01026815B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/31/1986 (about 39 years ago)
- Expiry Date: 06/30/2005 (almost 20 years ago)
LOCATIONS
A Address
129 TIMBER LANE, Brownsburg IN 46112