Nickole Rene Bazger
Controlled Substance Registration-Osteopathic Physician
Indiana 02003860B Expired
This Indiana license was held by Nickole Rene Bazger. The license is no longer active. It was granted on 06/20/2011 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 02003860B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 06/20/2011 (almost 14 years ago)
- Expiry Date: 10/31/2013 (over 11 years ago)
LOCATIONS
A Address
St. Joseph OB/GYN Medical Office Bldg., 611 E. Douglas Road, Suite #408, Mishawaka IN 46545