License holder summary

Dany Boulos is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Dany Boulos is 1207 East National Ave., Brazil IN 47834. This licensed professional license is current. The license was granted 06/15/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Dany Boulos
Controlled Substance Registration - Physician
License number
01068800B
Date granted
06/15/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1207 East National Ave., Brazil IN 47834
indianalicensing.org
ID 5827586
LAST UPDATED 2024-03-10 00:34:26 UTC

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