Nicholas Peter Taraska
Controlled Substance Registration - Physician
Indiana 01070118B Expired
This Indiana license was held by Nicholas Peter Taraska. The license is no longer active. It was granted on 08/18/2011 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01070118B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/18/2011 (almost 13 years ago)
- Expiry Date: 10/31/2013 (over 10 years ago)
LOCATIONS
A Address
1115 N. Ronald Reagan Pkwy #383, Avon IN 46123