Indiana
Professional Licensing Agency
James Douglas Bovienzo
Controlled Substance Registration-Osteopathic Physician
License number
02003749B
Date granted
09/29/2010
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Unity Physician Group, PC-Attn: Debbie Gillette, 1155 W. 3rd Street, Bloomington IN 47404
indianalicensing.org
ID 5795452
LAST UPDATED 2024-02-26 17:47:44 UTC
LAST UPDATED 2024-02-26 17:47:44 UTC
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