Indiana
Professional Licensing Agency
Wilber Clarence Boren, Jr.
Controlled Substance Registration - Dentist
License number
12006376B
Date granted
04/30/1986
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
21045 Riverbrook Lane, Bristol IN 46507
indianalicensing.org
ID 5084172
LAST UPDATED 2024-04-08 06:53:32 UTC
LAST UPDATED 2024-04-08 06:53:32 UTC
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