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
LAST UPDATED 2024-03-14 14:00:00 UTC
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