Nicole Renae Kirby King

Controlled Substance Registration - Physician

Indiana  01074094B   Active

This Indiana license is held by Nicole Renae Kirby King. The license is currently active. It was granted on 06/05/2014 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01074094B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 06/05/2014 (almost 10 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

112 Hospital Lane, Ste 200, Bldg 2, Danville IN 46122