Indiana
Professional Licensing Agency
Jack Howell Boyd
Controlled Substance Registration - Dentist
License number
12005537B
Date granted
04/30/1986
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
10025 Woodland Ridge West, Fort Wayne IN 46804-4791
indianalicensing.org
ID 5094873
LAST UPDATED 2024-04-19 01:04:27 UTC
LAST UPDATED 2024-04-19 01:04:27 UTC
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