Indiana
Professional Licensing Agency
Boris S. Imperial
Controlled Substance Registration - Physician
License number
01025518B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3810 Dona Court, Carmel IN 46033
indianalicensing.org
ID 5829980
LAST UPDATED 2024-04-14 11:25:15 UTC
LAST UPDATED 2024-04-14 11:25:15 UTC
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