License holder summary

GRACE BOYER GREEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GRACE BOYER GREEN is 605-607 LOCUST STREET, MARION IN 46952. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 04/30/1986.

Indiana

Professional Licensing Agency

GRACE BOYER GREEN
Controlled Substance Registration - Physician
License number
01011455B
Date granted
04/30/1986
Date expires
04/30/1986
Class
Controlled Substance Registration - Physician
Status
Expired
Address
605-607 LOCUST STREET, MARION IN 46952
indianalicensing.org
ID 5888022
LAST UPDATED 2024-03-07 02:57:54 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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