Indiana
Professional Licensing Agency
JERALD ARTHUR BOVINO
Controlled Substance Registration - Physician
License number
01042287B
Date granted
03/31/1994
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
7305 W JEFFERSON BLVD, FORT WAYNE IN 46804
indianalicensing.org
ID 5853607
LAST UPDATED 2026-07-06 02:18:09 UTC
LAST UPDATED 2026-07-06 02:18:09 UTC
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