Indiana
Professional Licensing Agency
Daniel Alan Boll
Controlled Substance Registration - Physician
License number
01035496B
Date granted
09/29/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5894762
LAST UPDATED 2024-05-01 13:37:19 UTC
LAST UPDATED 2024-05-01 13:37:19 UTC
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