Indiana
Professional Licensing Agency
DOROTHY L C BOERSMA
Controlled Substance Registration - Physician
License number
01028107B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
PO Box 21, 509 Harcourt Way, RUSHVILLE IN 46173
indianalicensing.org
ID 5915829
LAST UPDATED 2024-02-11 11:48:27 UTC
LAST UPDATED 2024-02-11 11:48:27 UTC
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