License holder summary

Michael Scott Boxum is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Michael Scott Boxum is 754 N. McCool, Valparaiso IN 46385. This licensed professional license is current. The license was granted 05/10/2007 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Michael Scott Boxum
Controlled Substance Registration-Osteopathic Physician
License number
02003170B
Date granted
05/10/2007
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
754 N. McCool, Valparaiso IN 46385
indianalicensing.org
ID 5814801
LAST UPDATED 2024-05-11 05:40:58 UTC

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