License holder summary

MARY J BOYLAN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARY J BOYLAN is 521 E 86TH AVENUE SUITE Q, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 01/26/1995 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

MARY J BOYLAN
Controlled Substance Registration - Physician
License number
01043404B
Date granted
01/26/1995
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
521 E 86TH AVENUE SUITE Q, MERRILLVILLE IN 46410
indianalicensing.org
ID 5891049
LAST UPDATED 2024-02-17 10:18:57 UTC

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