Indiana
Professional Licensing Agency
Janine Bishara Boivin
Controlled Substance Registration-Physician Assistant
License number
10000492B
Date granted
03/28/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Urology of Indiana, L.L.C., 12188-A North Meridian Str, Suite #200, Carmel IN 46032
indianalicensing.org
ID 8386011
LAST UPDATED 2024-02-24 20:39:31 UTC
LAST UPDATED 2024-02-24 20:39:31 UTC
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