Indiana
Professional Licensing Agency
Barbara Lou Bourland
Controlled Substance Registration - Physician
License number
01025576B
Date granted
07/21/1987
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
606 Wilshire Avenue, West Lafayette IN 47906
indianalicensing.org
ID 5933822
LAST UPDATED 2024-02-26 03:22:02 UTC
LAST UPDATED 2024-02-26 03:22:02 UTC
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