Indiana
Professional Licensing Agency
Clark E. Boccone
Controlled Substance Registration - Physician
License number
01063890B
Date granted
06/12/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
112 Hospital Lane Suite 200, Danville IN 46122
indianalicensing.org
ID 5842484
LAST UPDATED 2024-10-26 23:26:28 UTC
LAST UPDATED 2024-10-26 23:26:28 UTC
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