License holder summary

Gayle Jean Borkowski is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Gayle Jean Borkowski is Fairhaven Obstetrics & Gynecology, 1111 Lighthouse Lane, Goshen IN 46526-3824. This licensed professional license is current. The license was granted 07/21/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Gayle Jean Borkowski
Controlled Substance Registration - Physician
License number
01042838B
Date granted
07/21/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Fairhaven Obstetrics & Gynecology, 1111 Lighthouse Lane, Goshen IN 46526-3824
indianalicensing.org
ID 5858640
LAST UPDATED 2024-04-07 17:55:53 UTC

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