License holder summary

Gerald Ray Bougher is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Gerald Ray Bougher is 3313 N. Lakeshore Dr., Monticello IN 47960. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 06/30/2007.

Indiana

Professional Licensing Agency

Gerald Ray Bougher
Controlled Substance Registration - Physician
License number
01021439B
Date granted
04/30/1986
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3313 N. Lakeshore Dr., Monticello IN 47960
indianalicensing.org
ID 5896481
LAST UPDATED 2024-03-14 14:00:00 UTC

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