Indiana
Professional Licensing Agency
Maria Agnes Boha
Controlled Substance Registration - Physician
License number
01019727C
Date granted
06/03/2003
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5016 S. Skyline Drive, Floyds Knobs IN 47119-9006
indianalicensing.org
ID 5852711
LAST UPDATED 2024-05-05 05:14:05 UTC
LAST UPDATED 2024-05-05 05:14:05 UTC
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