License holder summary

MARTIN DONALD BOMALASKI is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARTIN DONALD BOMALASKI is Martin Donald Bomalaski, PO Box 747, Jasper IN 47547. This licensed professional license is not current. The license was granted 04/30/1983 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

MARTIN DONALD BOMALASKI
Controlled Substance Registration - Physician
License number
01019028B
Date granted
04/30/1983
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Martin Donald Bomalaski, PO Box 747, Jasper IN 47547
indianalicensing.org
ID 5871850
LAST UPDATED 2024-02-22 01:34:03 UTC

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