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
LAST UPDATED 2024-03-26 21:36:51 UTC
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