License holder summary

Alexander G. Boutselis is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Alexander G. Boutselis is Bedford Regional Med. Ctr., 2900 W. 16th St., Bedford IN 47421. This licensed professional license is not current. The license was granted 02/24/2003 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Alexander G. Boutselis
Controlled Substance Registration - Physician
License number
01046468C
Date granted
02/24/2003
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Bedford Regional Med. Ctr., 2900 W. 16th St., Bedford IN 47421
indianalicensing.org
ID 5821870
LAST UPDATED 2024-05-12 01:28:40 UTC

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