License holder summary

THOMAS MARK BOARDMAN is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for THOMAS MARK BOARDMAN is 1000 SOUTH ST, LAFAYETTE IN 47901. This licensed professional license is not current. The license was granted 12/31/1985 and expired on 03/01/2000.

Indiana

Professional Licensing Agency

THOMAS MARK BOARDMAN
Controlled Substance Registration - Dentist
License number
12004776B
Date granted
12/31/1985
Date expires
03/01/2000
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1000 SOUTH ST, LAFAYETTE IN 47901
indianalicensing.org
ID 5107980
LAST UPDATED 2024-04-28 17:06:23 UTC

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