Richard K. Niccum
Controlled Substance Registration - Physician
Indiana 01037769B Active
This Indiana license is held by Richard K. Niccum. The license is currently active. It was granted on 07/03/1989 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01037769B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/03/1989 (almost 35 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
3460 NORTH STATE ROAD 109, COLUMBIA CITY IN 46725
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