Indiana
Professional Licensing Agency
Nicole Annette Boler
Controlled Substance Registration - Physician
License number
01062602B
Date granted
08/11/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Methodist Hospital, attn: Dr. Dan Levinthal, 200 E. 89th Avenue, Rm C-124, Merrillville IN 46410
indianalicensing.org
ID 5891203
LAST UPDATED 2024-04-16 23:03:19 UTC
LAST UPDATED 2024-04-16 23:03:19 UTC
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