Indiana
Professional Licensing Agency
Douglas James Boss
Controlled Substance Registration - Physician
License number
01041457B
Date granted
07/21/1993
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2448 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 5853264
LAST UPDATED 2024-02-06 10:22:48 UTC
LAST UPDATED 2024-02-06 10:22:48 UTC
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