Indiana
Professional Licensing Agency
JOHN WESLEY BOSSARD
Controlled Substance Registration - Physician
License number
01018285B
Date granted
04/30/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEDICAL CLINIC BLDG, 3124 EAST STATE STREET, FORT WAYNE IN 46805
indianalicensing.org
ID 5853746
LAST UPDATED 2024-04-03 22:13:04 UTC
LAST UPDATED 2024-04-03 22:13:04 UTC
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