Indiana
Professional Licensing Agency
ROBERT CORNWALL BOLIN
Controlled Substance Registration - Physician
License number
01017016B
Date granted
04/30/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2600 GREENBUSH STREET, LAFAYETTE IN 47904
indianalicensing.org
ID 5880590
LAST UPDATED 2024-02-12 11:14:59 UTC
LAST UPDATED 2024-02-12 11:14:59 UTC
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