Indiana
Professional Licensing Agency
Boniface Mwamba Kawimbe
Controlled Substance Registration - Physician
License number
01064522B
Date granted
12/27/2007
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Jay County Hospital, 500 West Votam Street, Portland IN 47371
indianalicensing.org
ID 5911393
LAST UPDATED 2026-04-01 18:19:33 UTC
LAST UPDATED 2026-04-01 18:19:33 UTC
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