License holder summary

IAN BOISKIN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for IAN BOISKIN is 702 NORTH MICHIGAN STREET, SOUTH BEND IN 46601. This licensed professional license is not current. The license was granted 10/26/1995 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

IAN BOISKIN
Controlled Substance Registration - Physician
License number
01044458B
Date granted
10/26/1995
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
702 NORTH MICHIGAN STREET, SOUTH BEND IN 46601
indianalicensing.org
ID 5921141
LAST UPDATED 2024-03-26 21:36:51 UTC

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