Indiana
Professional Licensing Agency
Boynton Hooker Booth
Controlled Substance Registration - Physician
License number
01015407B
Date granted
04/30/1985
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8801 N Meridian Ste 207, Indianapolis IN 46260
indianalicensing.org
ID 5868954
LAST UPDATED 2024-02-05 07:38:40 UTC
LAST UPDATED 2024-02-05 07:38:40 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.