Indiana
Professional Licensing Agency
Bonni Maria Boone
Controlled Substance Registration - Dentist
License number
12009004B
Date granted
07/07/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
734 EAST IRELAND ROAD, SOUTH BEND IN 46614
indianalicensing.org
ID 5122699
LAST UPDATED 2024-04-04 19:53:48 UTC
LAST UPDATED 2024-04-04 19:53:48 UTC
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