License holder summary

Daniel Alan Boll is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Daniel Alan Boll is Radiology, Inc., 620 Edison Road, Suite 110, Mishawaka IN 46545. This licensed professional license is current. The license was granted 09/29/1986 and expired on 10/31/2015.

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

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