Indiana
Professional Licensing Agency
Clarence Wayne Boone
Controlled Substance Registration - Physician
License number
01017674B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2386 West 20th Avenue, GARY IN 46404
indianalicensing.org
ID 5856358
LAST UPDATED 2024-03-13 03:35:07 UTC
LAST UPDATED 2024-03-13 03:35:07 UTC
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