Indiana
Professional Licensing Agency
Gerome V. Bolalin
Controlled Substance Registration - Physician
License number
01074664B
Date granted
10/22/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Reid Hospital, 110 Reid Parkway, Richmond IN 47374
indianalicensing.org
ID 27718508
LAST UPDATED 2024-02-23 06:16:05 UTC
LAST UPDATED 2024-02-23 06:16:05 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.