Indiana
Professional Licensing Agency
BRAD J BOMBA
Controlled Substance Registration - Physician
License number
01019386B
Date granted
04/30/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1333 SARE RD., Bloomington IN 47401
indianalicensing.org
ID 5823819
LAST UPDATED 2024-03-05 16:59:18 UTC
LAST UPDATED 2024-03-05 16:59:18 UTC
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