License holder summary

Maria Rita Bolisay is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Maria Rita Bolisay is Maria Rita Bolisay, 1116 Millis Avenue, Ste 101, Boonville IN 47601. This licensed professional license is current. The license was granted 07/24/1997 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Maria Rita Bolisay
Controlled Substance Registration - Physician
License number
01047204B
Date granted
07/24/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Maria Rita Bolisay, 1116 Millis Avenue, Ste 101, Boonville IN 47601
indianalicensing.org
ID 5827363
LAST UPDATED 2024-05-30 21:39:24 UTC

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