Indiana
Professional Licensing Agency
Eugene Keith Boone
Controlled Substance Registration - Dentist
License number
12009330B
Date granted
07/09/1996
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1316 Carolina Street, Gary IN 46407
indianalicensing.org
ID 5097503
LAST UPDATED 2024-02-29 18:02:11 UTC
LAST UPDATED 2024-02-29 18:02:11 UTC
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