License holder summary

David Henry Bolonkin is a Controlled Substance Registration - Podiatrist licensed to practice in Indiana. The address on file for David Henry Bolonkin is 1402 Blackiston Mill Road, Clarksville IN 47129. This licensed professional license is current. The license was granted 08/30/1985 and expired on 06/30/2015.

Indiana

Professional Licensing Agency

David Henry Bolonkin
Controlled Substance Registration - Podiatrist
License number
07000563B
Date granted
08/30/1985
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
1402 Blackiston Mill Road, Clarksville IN 47129
indianalicensing.org
ID 8429976
LAST UPDATED 2024-03-16 17:09:39 UTC

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