License holder summary

MICHAEL DAVID BOHLIN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MICHAEL DAVID BOHLIN is 2323 Ferry St., Ste. 104, Lafayette IN 47904. This licensed professional license is current. The license was granted 09/12/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

MICHAEL DAVID BOHLIN
Controlled Substance Registration - Physician
License number
01041733B
Date granted
09/12/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2323 Ferry St., Ste. 104, Lafayette IN 47904
indianalicensing.org
ID 5880287
LAST UPDATED 2024-04-29 01:00:13 UTC

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